JACK NASSAU, PHD
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1750367868
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | No | PS00644 (RI) |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | PS00644 (RI) |
Frequently Asked Questions
NPI 1750367868 is the National Provider Identifier for JACK NASSAU, PHD, a Psychologist - Clinical Child & Adolescent provider located in Providence, RI. This NPI was enumerated on December 20, 2005.
JACK NASSAU, PHD practices at 1 HOPPIN ST, SUITE 204, Providence, RI 02903.
Quick Facts
- NPI
- 1750367868
- Type
- Individual
- Enumerated
- Dec 20, 2005
- Last Updated
- Jan 19, 2012
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