JACK ENNIS

INDIANAPOLIS, IN
NPI1194773028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20040742)
Enumeration Date2006-05-04
Last Update Date2011-03-15
Business Address
-- JACK ENNIS PsyD, HSPP
2160 N ILLINOIS ST
INDIANAPOLIS, IN 46202-1334
Phone number: 317-937-3700
Mailing Address
-- JACK ENNIS PsyD, HSPP
PO BOX 4323
TERRE HAUTE, IN 47804-0323
Phone number: 812-231-8323
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