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Joann Michelle Jackson, PSYD
Psychologist in South Bend, Indiana
NPI 1194739904

Joann Michelle Jackson is a Psychologist based in Goshen, IN. Joann Michelle Jackson practices in South Bend, IN and has the professional credentials of PSYD. The NPI Number for Joann Michelle Jackson is 1194739904 and holds a License No. 20040982A (Indiana).

The current practice location address for Joann Michelle Jackson is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-533-1234 and via fax at 574-537-2652. You can also correspond with Joann Michelle Jackson through the mailing address at 330 LAKEVIEW DR, GOSHEN, IN - 46528-9365 (mailing address contact number: 574-533-1234).

Location: 403 E Madison St, South Bend, IN, 46528-9365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194739904
Provider Name
Joann Michelle Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
403 E Madison St, South Bend, IN, 46528-9365
Phone Number
574-533-1234
Fax Number
574-537-2652
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200200700A 05 IN
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
330 Lakeview Dr
City
Goshen
State
Indiana
Zip
46528-9365
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
20040982A (Indiana)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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