Individual
JENNIFER J. HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 101, CHARLESTON, WV 25304-1223
(304) 388-8380
(304) 388-8361
Mailing address
3415 MACCORKLE SEAVE, CHARLESTON, WV 25304-1334
(304) 388-8380
(304) 388-8395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1103
WV
Other
Enumeration date
10/09/2014
Last updated
12/28/2015
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