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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. You can also correspond with Jack Garden through the mailing address at 403 E MADISON ST, SOUTH BEND, IN - 46617-2322 (mailing address contact number: 574-283-1107).

Location: 403 E Madison St, South Bend, IN, 46617-2322
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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
State
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
State
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
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).
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