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Gregory Pouliot, PHD
Clinical Psychologist in South Bend, Indiana
NPI 1336549328

Gregory Pouliot is a Clinical Psychologist based in South Bend, IN and is specialized in Clinical. Gregory Pouliot practices in South Bend, IN and has the professional credentials of PHD. The NPI Number for Gregory Pouliot is 1336549328 and holds a License No. 20042945A (Indiana).

The current practice location address for Gregory Pouliot is 714 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7477 and via fax at 574-647-3655.

Location: 714 N Michigan St, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336549328
Provider Name
Gregory Pouliot
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
714 N Michigan St, South Bend, IN, 46617-1924
Phone Number
574-647-7477
Fax Number
574-647-3655
Provider Enumeration Date
08/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201392530 05 IN
institution
Provider Business Practice Location Address Details
Address
714 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
574-647-3655
person
Provider Business Mailing Address Details
Address
714 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
574-647-3655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20042945A (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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