Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER R ANTICK, PHD
ActiveJENNIFER R ANTICK, PHD is a Clinical Psychologist healthcare provider located in PORTLAND, Oregon. NPI 1285626507 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PORTLAND, OR
Registration Details
- NPI Number
- 1285626507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2005 (20.934989688779 yrs)
- Last Updated
- Dec 2, 2011
- Licenses
-
PY00002039 (WA)1853 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDUHN 80PORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034947353
- Fax
- 5034943282
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC E. MUELLER | PH.D. | 1386644755 |
| DR. GEORGIA GAYLE WILCOX | PSYD | 1710970413 |
| DR. WENDY GOLDBERG NEWTON | PSY.D. | 1134112725 |
| DR. VICTORIA DOUGLAS THORESON | PSY.D. | 1114914504 |
| JAMES MATTHEW SARDO | PH.D. | 1366432643 |
| DR. NORMUND J AKOTS | PHD, MS | 1477534360 |
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.