Individual provider · Type 1 NPI
Michael James Jenuwine, PhD
Forensic Psychologist · South Bend, IN
NPI number
1336345008
Active
Practice location
725 Howard St
South Bend, IN 46617-1529
Fax (574) 631-6725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Forensic Psychologist Primary | 103TF0200X | 20041826A (IN) |
| Forensic Psychologist | 103TF0200X | None listed |
Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
About NPI 1336345008
Michael James Jenuwine, PhD's National Provider Identifier is 1336345008, issued on Jun 21, 2007. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.