Individual provider · Type 1 NPI

Jack Ennis, PSYD, HSPP

Clinical Psychologist · Indianapolis, IN

NPI number 1194773028 Active

Practice location

2160 N Illinois St
Indianapolis, IN 46202-1334

Call (317) 937-3700 Map

Fax (317) 937-3710

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20040742 (IN)

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 1194773028

Jack Ennis, PSYD, HSPP's National Provider Identifier is 1194773028, issued on May 4, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 15, 2011.