Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON C SCHICKEDANZ
Active Sole ProprietorMR. 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 NTCSTE #ACHUBUCK, ID, 83202Browse 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.