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

Individual provider Clinical Psychologist · NPI 1417281064

Dr. Shannon Jackson, PSYD is a Clinical Psychologist in Manchester, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

150 N Main St Echn Health Services
Manchester, CT 06040-4188
Phone: (860) 647-6832
Fax: (860) 647-6831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 00297 (CT)

Record details

NPI number1417281064
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 30, 2009
Last updated in NPPESSeptember 30, 2009

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