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Limited Scope Psychologist
License Description IAC 1.1-3-8 Limited scope temporary psychology permit Authority: IC 25-33-1-4.5 Authority: IC 25-1-9; IC 25-33-1-3; IC 25-33-1-9 Sec. 8. (a) A person: (1) not currently licensed to practice psychology in Indiana; (2) licensed to practice psychology without supervision by any board or licensing agency of any other state or jurisdiction; and (3) eligible for licensure under IC 25-33-1-9; may apply to the board for a limited scope temporary psychology permit that, if issued under this section, shall remain valid for a nonrenewable period not to exceed a total of thirty (30) days in any two (2) year period. (b) A person seeking a limited scope temporary psychology permit under this section shall do the following: (1) Complete an application form supplied by the board specifying the following: (A) The reasons for seeking a limited scope temporary psychology permit. (B) The type, extent, and specialization of psychological services that the applicant intends to, or may, provide. (C) The applicant's: (i) residence and office addresses and telephone numbers; (ii) e-mail address; and (D) Statements regarding the psychologist's disciplinary history and fitness to practice. (2) Submit, with the application for a limited scope temporary psychology permit, the following: (A) One (1) recent passport-type photograph of the applicant, taken within eight (8) weeks prior to filing the application. (B) Proof of holding a current and valid unrestricted license to practice psychology without supervision in another state or jurisdiction.(C) The fee for a temporary permit to practice psychology required by 868 IAC 1.1-12-1. (c) All information on the application shall be submitted under oath or affirmation, subject to penalties for perjury.
Licensing Agency
Indiana Professional Licensing Agency
Indiana State Psychology Board
402 West Washington Street, Room W072
Indianapolis, IN 46204
(317) 234 2054
pla8@pla.in.gov
Active Status Active
Continuing Education Continuing education required to maintain license
Criminal Record No criminal record prohibitions
Education Degree required
Exam Third-party exam required
License Type Stand-alone license
License Updated 05/06/2021

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