Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ENNIS, PSYD, HSPP
ActiveJACK ENNIS, PSYD, HSPP is a Clinical Psychologist healthcare provider located in INDIANAPOLIS, Indiana. NPI 1194773028 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1194773028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.325045723436 yrs)
- Last Updated
- Mar 15, 2011
- License
-
20040742 (IN)
Practice Information
- Address
-
2160 N ILLINOIS STINDIANAPOLIS, IN, 462021334Browse IN providers · Browse ZIP 46202
- Phone
- 3179373700
- Fax
- 3179373710
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. BETH LOUISE FINEBERG | PH.D. | 1396742441 |
| KENNETH L LOVKO | PHD | 1568462422 |
| DR. LEANNE CARLSON | PHD HSPP | 1295735744 |
| DR. JAMES BRADLEY TEAGUE | PH.D. | 1821098922 |
| DAVID L ALEXANDER | PSYCHOLOGIST H.S.P.P | 1497757074 |
| ARI DEAN GLECKMAN | PHD | 1437145786 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.