Jennifer R Antick, PHD

NPI #1285626507 in Portland, Oregon

Provider Information

NPI Number: 1285626507
Entity Type: Individual
Name: Jennifer R Antick, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Aug 22, 2005
Last Updated: Dec 2, 2011

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
Address 2: UHN 80
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-7353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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