Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES JACK, PH.D.
Active Sole ProprietorDR. CHARLES JACK, PH.D. is a Clinical Psychologist healthcare provider located in HAMBURG, New York. NPI 1376201772 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · HAMBURG, NY
Registration Details
- NPI Number
- 1376201772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2021 (4.716863585592 yrs)
- Last Updated
- Nov 24, 2023
- License
-
35SI00726500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5178 PARKER RDHAMBURG, NY, 14075Browse NY providers · Browse ZIP 14075
- Phone
- 7165988827
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in HAMBURG, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KIMBERLY FRANKLIN | PHD | 1285656488 |
| DR. ROBERT S ZAM | PHD | 1316099096 |
| DR. KELLY COLEMAN | PSY.D. | 1245721182 |
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.