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Individual

MARGARET ANN JESSOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
53700 GENERATIONS DR, SUITE 200, SOUTH BEND, IN 46635-1539
(574) 235-3026
Mailing address
53700 GENERATIONS DR, SUITE 200, SOUTH BEND, IN 46635-1539
(574) 235-3026

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35501
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20041913A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 18255
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200467170A
IN
Enumeration date
12/07/2005
Last updated
02/10/2026
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