Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jaclyn Beth Issner, PHD

Individual provider Clinical Psychologist · NPI 1679852115

Dr. Jaclyn Beth Issner, PHD is a Clinical Psychologist in Birmingham, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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

644 Ruffner Ave
Birmingham, MI 48009-1723
Phone: (248) 909-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Church St, Ann Arbor, MI 48109-1043 — (734) 615-7853

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301015380 (MI)

Record details

NPI number1679852115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 16, 2011
Last updated in NPPESMay 30, 2019
Mailing address644 Ruffner Ave, Birmingham, MI 48009-1723

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