Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JILL E BACON, PSYD
ActiveMS. JILL E BACON, PSYD is a Clinical Psychologist healthcare provider located in NORTH RIDGEVILLE, Ohio. NPI 1770704041 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NORTH RIDGEVILLE, OH
Registration Details
- NPI Number
- 1770704041
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.247687403945 yrs)
- Last Updated
- Jul 27, 2023
- Licenses
-
6570 (OH)6570 (OH)
Practice Information
- Address
-
6401 JAYCOX RDNORTH RIDGEVILLE, OH, 440391611Browse OH providers · Browse ZIP 44039
- Phone
- 4403271800
- Fax
- 4403271533
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in NORTH RIDGEVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| THOMAS MICHAEL EVANS II | — | 1346574142 |
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.