Individual provider · Type 1 NPI
Maryanne Jaconis, PhD
Clinical Psychologist · Portland, OR
Practice location
1742 SE Clatsop St
Portland, OR 97202-7305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 2882 (OR) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1295240190
Maryanne Jaconis, PhD's National Provider Identifier is 1295240190, issued on Dec 13, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Dec 13, 2017.