location
search-icon
person
Jack Garden, HSPP
Health Service Psychologist in South Bend, Indiana
NPI 1194860304

Jack Garden is a Health Service Psychologist based in South Bend, IN and is specialized in Health Service. Jack Garden practices in South Bend, IN and has the professional credentials of HSPP. The NPI Number for Jack Garden is 1194860304 and holds a License No. 20041199A (Indiana).

The current practice location address for Jack Garden is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1107 and via fax at 574-283-1131.

Location: 403 E Madison St, South Bend, IN, 46617-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194860304
Provider Name
Jack Garden
Credential
HSPP
Provider Entity Type
Individual
Gender
Male
Address
403 E Madison St, South Bend, IN, 46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20041199A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in South Bend, Indiana:

person
Joyce Vestal Dunfee
NPI 1659369098
Health Service Psychologist
714 N Michigan St,
SOUTH BEND, IN
46601-1035
574-647-7477
More
institution
Victory Clinical Services Ii Llc
NPI 1497798284
Health Service Psychologist
4218 W Western Ave,
SOUTH BEND, IN
46619-2622
574-233-1524
More