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DR. JACLYN BETH ISSNER PH.D.
NPI 1679852115
Psychologist - Clinical in Birmingham, MI

Active since August 16, 2011
644 RUFFNER AVE, BIRMINGHAM, MI 48009(248) 909-9801 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Beth Issner Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN BETH ISSNER PH.D. (NPI 1679852115) is an individual clinical provider in Birmingham, Michigan, licensed in Michigan (6301015380) and active in the NPI registry since August 2011. She maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1679852115
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACLYN BETH ISSNERCredential: PH.D.
Location Address644 RUFFNER AVEBirmingham, MI 48009-1723
Mailing Address644 Ruffner AveBirmingham, MI 48009-1723 · (248) 909-9801
Phone(248) 909-9801
Sole ProprietorYes
Enumeration DateAugust 16, 2011
Last NPPES UpdateMay 30, 2019
✔ NPI 1679852115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301015380
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
644 RUFFNER AVE, Birmingham, MI 48009
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Other Names 1

Former Name (1)Dr. Jackie Beth Heller Ph.d.

Secondary Practice Location 1

Location 1530 Church StAnn Arbor, MI 48109-1043 · Phone (734) 615-7853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Issner's NPI number?

The NPI number for Jaclyn Issner is 1679852115. It was assigned to this individual provider in the NPPES registry on August 16, 2011. The provider is also known as Dr. Jackie Beth Heller Ph.D..

Where is Jaclyn Issner located?

Jaclyn Issner practices at 644 Ruffner Ave, Birmingham, MI 48009. The listed phone number is (248) 909-9801.

What is Jaclyn Issner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jaclyn Issner was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.