Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAMES JENUWINE, PH.D.
Active Sole ProprietorDR. MICHAEL JAMES JENUWINE, PH.D. is a Forensic Psychologist healthcare provider located in SOUTH BEND, Indiana. NPI 1336345008 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1336345008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2007 (19.163494402339 yrs)
- Last Updated
- Jul 8, 2007
- License
-
20041826A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
725 HOWARD STSOUTH BEND, IN, 466171529Browse IN providers · Browse ZIP 46617
- Phone
- 5746317795
- Fax
- 5746316725
- Primary Specialty
-
Forensic Psychologist
103TF0200X
- Additional Specialty
- Forensic Psychologist
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.