Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COLLEEN MAGUIRE JACKSON, PH.D.
Active Sole ProprietorDR. COLLEEN MAGUIRE JACKSON, PH.D. is a Counseling Psychologist healthcare provider located in WEST LAFAYETTE, Indiana. NPI 1417384504 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · WEST LAFAYETTE, IN
Registration Details
- NPI Number
- 1417384504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2013 (12.832691649684 yrs)
- Last Updated
- Apr 28, 2015
- Licenses
-
20042613A (IN)20042613A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 3RD STWEST LAFAYETTE, IN, 479072081Browse IN providers · Browse ZIP 47907
- Phone
- 7654946995
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Other Counseling Psychologist Providers in WEST LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| ANGELA MAROTTA GARRISON | PH.D. | 1215193339 |
| DR. TIANNA KYONG BERTSCH | PHD | 1588811681 |
| DR. CHARITY ELIZABETH TABOL | PH.D. | 1427299171 |
| DR. SUSAN LYNN PRIETO-WELCH | PH.D. | 1497182935 |
| DR. DOUGLAS BENNETT | PH.D. | 1578990677 |
| DR. CHRISTOPHER G BLACK | PH.D. | 1821506163 |
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.