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

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