Individual
DR. GREG W. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
(806) 468-1523
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
(806) 468-1523
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
23079
TX
103T00000X
Psychologist
23079
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
23079
TX
103TC0700X
Clinical Psychologist
Primary
23079
TX
Other
Enumeration date
03/25/2006
Last updated
07/13/2007
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