DR. COLLEEN MAGUIRE JACKSON, PH.D.

Psychologist - Counseling

Active Individual
NPI: 1417384504

Practice Address

703 3RD ST
West Lafayette, IN 47907

Phone: (765) 494-6995

Specialties

Specialty Code Primary License
Psychologist 103T00000X No 20042613A (IN)
Psychologist - Counseling 103TC1900X Yes 20042613A (IN)

Frequently Asked Questions

NPI 1417384504 is the National Provider Identifier for DR. COLLEEN MAGUIRE JACKSON, PH.D., a Psychologist - Counseling provider located in West Lafayette, IN. This NPI was enumerated on October 3, 2013.
DR. COLLEEN MAGUIRE JACKSON, PH.D. practices at 703 3RD ST, West Lafayette, IN 47907.

Quick Facts

NPI
1417384504
Type
Individual
Enumerated
Oct 3, 2013
Last Updated
Apr 28, 2015

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