Individual provider · Type 1 NPI
Chenitra Jack
Intellectual & Developmental Disabilities Psychologist · Dover, DE
NPI number
1972316958
Active
Practice location
10 Drew Ct
Dover, DE 19901-6422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1972316958
Chenitra Jack's National Provider Identifier is 1972316958, issued on Jan 31, 2025. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Dover, DE. The record was last updated on Jan 31, 2025.