National Provider Identifier
Charles Jack, PH.D.
Charles Jack, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Hamburg, NY and a listed phone number of (716) 598-8827.
Profile Overview
- NPI
- 1376201772
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- December 02, 2021
- Last Updated
- November 24, 2023
Practice Location
- 5178 Parker RD
- Hamburg, NY 14075
Phone: (716) 598-8827
Specialties
- Clinical Psychologist (103TC0700X)
- Psychologist (103T00000X)
Endpoints
- mail@BHCofWNY.com
Connect Url | Direct | Csv | Hamburg, NY 14075
Protected Email
Full Record
- NPI
- 1376201772
- Entity Type
- Individual
- Last Name
- Jack
- First Name
- Charles
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 5178 Parker RD
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Mailing Phone
- (716) 598-8827
- Practice Street Address
- 5178 Parker RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075
- Practice Country
- US
- Practice Phone
- (716) 598-8827
- Enumeration Date
- December 02, 2021
- Last Updated
- November 24, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Psychologist (103T00000X)