Individual provider · Type 1 NPI

Charles Jack, PhD

Clinical Psychologist · Hamburg, NY

NPI number 1376201772 Active

Practice location

5178 Parker Rd
Hamburg, NY 14075

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Psychologist Primary 103TC0700X35SI00726500 (NJ)

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 1376201772

Charles Jack, PhD's National Provider Identifier is 1376201772, issued on Dec 2, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Hamburg, NY. The record was last updated on Nov 24, 2023.