-- JENNIFER R ANTICK -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1285626507- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD UHN 80, PORTLAND, OR, 972393011
- Phone
- (503) 494-7353
- Fax
- (503) 494-3282
Specialties & Taxonomies
Psychologist, Clinical
License: WA #PY00002039
Psychologist, Clinical
Primary License: OR #1853