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

Eric D Jackson, PHD

Individual provider Clinical Psychologist · NPI 1184047698

Eric D Jackson, PHD is a Clinical Psychologist in Orange, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

35 Old Tavern Rd Ste 103
Orange, CT 06477-3450
Phone: (203) 701-9666
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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 003329 (CT)

Record details

NPI number1184047698
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 4, 2014
Last updated in NPPESFebruary 4, 2014
Mailing address88 E Broadway Apt B, Milford, CT 06460-6128

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