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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOANN MICHELLE JACKSON, PSY.D.

Active

JOANN MICHELLE JACKSON, PSY.D. is a Psychologist healthcare provider located in SOUTH BEND, Indiana. NPI 1194739904 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SOUTH BEND, IN

Registration Details

NPI Number
1194739904
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2006 (20.007253123329 yrs)
Last Updated
Sep 27, 2010
License
20040982A (IN)

Practice Information

Address
403 E MADISON ST
SOUTH BEND, IN, 466172322
Browse IN providers · Browse ZIP 46617
Phone
5745331234
Fax
5745372652
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in SOUTH BEND, IN

Name Credential NPI
MS. MARIE K UDULUTCH PSYD 1851376149
DR. JOYCE BLOCK PHD 1841308756
DR. JOHN ANTHONY PETERSEN PSY.D. 1851491526
DR. JOSEPHINE ANN DICKINSON PH.D. 1477838704
MEGAN HARRITY PH.D. 1790199529
WILLIAM BRUINSMA PSYD 1598145484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.