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Jacqueline Quinn-Tan, PSY.D

NPI 1518111996 · on the registry since 2008 · sole proprietor

Practice

Address
1000 S Michigan St
South Bend, IN 46601
Phone
(574) 235-5408
Organisation at this address
Rite Of Passage, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-25
Status
Not present in the most recent federal file

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