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

Shantell Jackson

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1992307870

Shantell Jackson is an Intellectual & Developmental Disabilities Psychologist in Wickliffe, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

1834 Robindale St
Wickliffe, OH 44092-1843
Phone: (330) 368-2617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 4303862 (OH)

Record details

NPI number1992307870
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2020
Last updated in NPPESNovember 15, 2020
Certification dateNovember 15, 2020
Mailing address1834 Robindale St, Wickliffe, OH 44092-1843