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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON C SCHICKEDANZ

Active Sole Proprietor

MR. JASON C SCHICKEDANZ is a Psychologist healthcare provider located in CHUBUCK, Idaho. NPI 1295041630 is currently active in the NPPES registry. Verify at CMS.

Psychologist · CHUBUCK, ID

Registration Details

NPI Number
1295041630
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2010 (16.00549137828 yrs)
Last Updated
Feb 27, 2023
License
PSY-203074 (ID)
Sole Proprietor
Yes

Practice Information

Address
4737 AFTON PL. SANCTUARY NTC
STE #A
CHUBUCK, ID, 83202
Browse ID providers · Browse ZIP 83202
Phone
2084170623
Fax
2084170641
Primary Specialty
Psychologist
103T00000X
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.