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Diane Johnson Prosser, Phd., Llc
Clinical Psychologist in South Bend, Indiana
NPI 1508213844

Diane Johnson Prosser, Phd., Llc is a Clinical Psychologist based in South Bend, IN and is specialized in Clinical. Diane Johnson Prosser, Phd., Llc practices in South Bend, IN. The NPI Number for Diane Johnson Prosser, Phd., Llc is 1508213844 and holds a License No. 20040993 (Indiana).

The current practice location address for Diane Johnson Prosser, Phd., Llc is 227 N Dixie Way, South Bend, IN and can be reached out via phone at 574-850-8486 and via fax at 574-966-1580.

Location: 227 N Dixie Way, South Bend, IN, 46637-3385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508213844
Provider Name
Diane Johnson Prosser, Phd., Llc
Credential
Provider Entity Type
Organization
Address
227 N Dixie Way, South Bend, IN, 46637-3385
Phone Number
574-850-8486
Fax Number
574-966-1580
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200122760A 05 IN
institution
Provider Business Practice Location Address Details
Address
227 N Dixie Way
City
South Bend
State
Indiana
Zip
46637-3385
Phone Number
574-850-8486
Fax Number
574-966-1580
person
Provider Business Mailing Address Details
Address
227 N Dixie Way
City
South Bend
State
Indiana
Zip
46637-3385
Phone Number
574-850-8486
Fax Number
574-966-1580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20040993 (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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