Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal A. Jackson, PHD , LLP, LLC

Organization Psychologist · NPI 1073124772

Crystal A. Jackson, PHD , LLP, LLC is a Psychologist in Detroit, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3011 W Grand Blvd
Detroit, MI 48202-3096
Phone: (586) 943-0563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1073124772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Jackson — Owner/Psychologist · (586) 943-0563
Other names Crystal A. Jackson, Ph.D. , Llp, Llc
NPI enumeratedAugust 14, 2020
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address3011 W Grand Blvd Ste 418, Detroit, MI 48202-3011

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