Chenitra Jack

Intellectual & Developmental Disabilities Psychologist · Dover, DE

Individual Active NPI

NPI number 1972316958

Practice location

10 Drew Ct
Dover, DE 19901-6422
Phone
(302) 760-3048

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NPI record

NPI
1972316958
Entity type
Individual (Type 1)
Enumeration date
January 31, 2025
Last updated
January 31, 2025
Certified
January 31, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800X — —

About Chenitra Jack

Chenitra Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Intellectual & Developmental Disabilities Psychologist (code 103TM1800X). The practice location is 10 Drew Ct, Dover, DE 19901-6422. The NPI number 1972316958 was assigned on January 31, 2025 and the record was last updated on January 31, 2025.

Frequently asked questions

What is the NPI number of Chenitra Jack?

The NPI number is 1972316958.

What is the phone number of Chenitra Jack?

The phone number listed for the practice location is (302) 760-3048.

Where is Chenitra Jack located?

10 Drew Ct, Dover, DE 19901-6422.

What is the taxonomy code for Chenitra Jack?

The primary taxonomy code is 103TM1800X – Intellectual & Developmental Disabilities Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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