Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK OSBORNE JENKINS, PH.D.
Active Sole ProprietorDR. JACK OSBORNE JENKINS, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in CARROLLTON, Georgia. NPI 1639369515 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · CARROLLTON, GA
Registration Details
- NPI Number
- 1639369515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2007 (19.062064481691 yrs)
- Last Updated
- Jul 27, 2007
- License
-
PSY000651 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 DIXIE STCARROLLTON, GA, 301173921Browse GA providers · Browse ZIP 30117
- Phone
- 6782302046
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
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.