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

Dr. Judith Temple Jackson, PSYCHOLOGIST

Individual provider Prescribing (Medical) Psychologist · NPI 1497973911

Dr. Judith Temple Jackson, PSYCHOLOGIST is a Clinical Psychologist in Ardmore, Pennsylvania. Qualified in 1992, 34 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
34
Licensed in
PA
In the registry since
2007

Practice location Address checks out

125 Coulter Ave Fl 2
Ardmore, PA 19003-2410
Phone: (610) 642-4873
Fax: (610) 642-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence PS007219L (PA)

Record details

NPI number1497973911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorNo
NPI enumeratedApril 22, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ardmore