Individual
DR. JANA P. CHICKINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
781 MAIN ST, SUITE 3, WHITINSVILLE, MA 01588-1712
(774) 551-6546
Mailing address
334 PROVIDENCE RD, SOUTH GRAFTON, MA 01560-1335
(508) 839-4486
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6881
MA
103TA0700X
Adult Development & Aging Psychologist
6881
MA
103TB0200X
Cognitive & Behavioral Psychologist
6881
MA
103TC0700X
Clinical Psychologist
Primary
6881
MA
103TF0000X
Family Psychologist
6881
MA
103TP2701X
Group Psychotherapy Psychologist
6881
MA
Other
Enumeration date
05/22/2007
Last updated
01/07/2013
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