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

Dr. John Stephen Southern, EDD

Individual provider Psychologist · NPI 1396084786

Dr. John Stephen Southern, EDD is a Psychologist in Jackson, Mississippi. Practices as a sole proprietor and works from 3 locations. Licensed in California, Illinois, Mississippi and Pennsylvania and 1 more.

Licensed in
CA, IL, MS, PA, TX
In the registry since
2013
Specialties on file
7
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

106 Sugaloch Cv
Jackson, MS 39211-3435
Phone: (618) 762-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 815b Ocean View Blvd, Pacific Grove, CA 93950-2229 — (361) 876-2030
  • 2906 N State St, Jackson, MS 39216-4233 — (769) 524-4154

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0571 (MS)
Psychologist Taxonomy 103T00000X · Licence 071009636 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence T0188 (MS)
Professional Counselor Taxonomy 101YP2500X · Licence 08559 (TX)
Psychologist Taxonomy 103T00000X · Licence 003695 (PA)
Psychologist Taxonomy 103T00000X · Licence 30540 (CA)
Psychologist Taxonomy 103T00000X · Licence 071.009636 (IL)

Record details

NPI number1396084786
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedFebruary 6, 2013
Last updated in NPPESApril 11, 2019
Mailing address106 Sugaloch Cv, Jackson, MS 39211-3435

Other providers in Jackson