Individual
DR. BARBARA CAROL JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1535 RED WING DR, EVANSVILLE, IN 47715-5249
(812) 479-3454
Mailing address
1535 RED WING DR, EVANSVILLE, IN 47715-5249
(812) 479-3454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247020
—
IN
Enumeration date
05/21/2008
Last updated
05/21/2008
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