person
Dr. Diane Johnson Prosser, PHD
Clinical Psychologist in South Bend, Indiana
NPI 1952452534

Diane Johnson Prosser is a Clinical Psychologist based in South Bend, IN and is specialized in Clinical. Diane Johnson Prosser practices in South Bend, IN and has the professional credentials of PHD. The NPI Number for Diane Johnson Prosser is 1952452534 and holds a License No. 20040993 (Indiana).

The current practice location address for Diane Johnson Prosser is 227 N Dixie Way Ste 110, South Bend, IN and can be reached out via phone at 574-850-8486 and via fax at 574-966-1585.

Location: 227 N Dixie Way Ste 110, South Bend, IN, 46637-3366
person
Provider Profile Details
NPI Number
1952452534
Provider Name
Diane Johnson Prosser
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
227 N Dixie Way Ste 110, South Bend, IN, 46637-3366
Phone Number
574-850-8486
Fax Number
574-966-1585
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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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 Ste 110
City
State
Zip
46637-3366
Phone Number
574-850-8486
Fax Number
574-966-1585
person
Provider Business Mailing Address Details
Address
227 N Dixie Way Ste 110
City
State
Zip
46637-3366
Phone Number
574-850-8486
Fax Number
574-966-1585
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
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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