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

Individual provider Psychologist · NPI 1598037665

Mrs. Takiyah Jackson, MATLLP is a Psychologist in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
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Practice location Address checks out

420 W 5th Ave
Flint, MI 48503-2445
Phone: (810) 257-3714
Fax: (810) 762-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301014667 (MI)

Record details

NPI number1598037665
Entity typeIndividual (Type 1)
GenderFemale
Credentials MATLLP
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 3, 2012

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