MS. Jill E Bacon, PSYD

NPI #1770704041 in North Ridgeville, Ohio

Provider Information

NPI Number: 1770704041
Entity Type: Individual
Name: MS. Jill E Bacon, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: May 2, 2007
Last Updated: Jul 27, 2023

Practice Location

Address: 6401 JAYCOX RD
City: North Ridgeville
State: Ohio
ZIP Code: 44039-1611
Phone: (440) 327-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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Organizations

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