DR. Jacqueline Mary Quinn-Tan, PSY.D.

NPI #1518111996 in South Bend, Indiana

Provider Information

NPI Number: 1518111996
Entity Type: Individual
Name: DR. Jacqueline Mary Quinn-Tan, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Nov 11, 2008
Last Updated: Aug 25, 2021

Practice Location

Address: 1000 S MICHIGAN ST
City: South Bend
State: Indiana
ZIP Code: 46601-3426
Phone: (574) 235-5408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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