Search › Indiana › 103TC1900X
Colleen Maguire Jackson, PH.D
NPI 1417384504 · on the registry since 2013 · sole proprietor
Practice
- Address
- 703 3rd St
West Lafayette, IN 47907 - Phone
- (765) 494-6995
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103T00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana