Individual provider · Type 1 NPI

Jennifer R. Antick, PhD

Clinical Psychologist · Portland, OR

NPI number 1285626507 Active

Practice location

3181 SW Sam Jackson Park Rd, Uhn 80
Portland, OR 97239-3011

Fax (503) 494-3282

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPY00002039 (WA)
Clinical Psychologist Primary 103TC0700X1853 (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 1285626507

Jennifer R. Antick, PhD's National Provider Identifier is 1285626507, issued on Aug 22, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2011.