Dr Colleen Maguire Jackson, PHD - Psychologist in West Lafayette, IN

Dr Colleen Maguire Jackson, PHD is a Psychologist - Counseling based in West Lafayette, Indiana. Dr Colleen Maguire Jackson is licensed to practice in Indiana (license number 20042613A) and her current practice location is 703 3rd St, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 494-6995.

NPI number for Dr Colleen Maguire Jackson is 1417384504 and her current mailing address is 703 3rd St, West Lafayette, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417384504.

Contact Information

Dr Colleen Maguire Jackson, PHD
703 3rd St,
West Lafayette, IN 47907-2081
(765) 494-6995
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Colleen Maguire Jackson
GenderFemale
SpecialityPsychologist - Counseling
Location703 3rd St, West Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417384504
  • Provider Enumeration Date: 10/03/2013
  • Last Update Date: 04/28/2015

Medical Identifiers

Medical identifiers for Dr Colleen Maguire Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417384504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 20042613A (Indiana)Secondary
103TC1900XPsychologist - Counseling 20042613A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Colleen Maguire Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Colleen Maguire Jackson, PHD
703 3rd St,
West Lafayette, IN 47907-2081

Ph: (765) 494-6995
Dr Colleen Maguire Jackson, PHD
703 3rd St,
West Lafayette, IN 47907-2081

Ph: (765) 494-6995

Reviews and Comments


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