Individual
DR. ROBERT H JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
711B EXECUTIVE PL, FAYETTEVILLE, NC 28305-5125
(910) 222-6089
(910) 485-4752
Mailing address
711B EXECUTIVE PL, FAYETTEVILLE, NC 28305-5125
(910) 222-6089
(910) 485-4752
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005914
—
NC
Enumeration date
01/17/2007
Last updated
07/09/2007
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