Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Colleen Maguire Jackson, PHD

Individual provider Psychologist · NPI 1417384504

Dr. Colleen Maguire Jackson, PHD is a Psychologist in West Lafayette, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

703 3rd St
West Lafayette, IN 47907-2081
Phone: (765) 494-6995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 20042613A (IN)
Psychologist Taxonomy 103T00000X · Licence 20042613A (IN)

Record details

NPI number1417384504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 3, 2013
Last updated in NPPESApril 28, 2015

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