MICHAEL JAMES JENUWINE

SOUTH BEND, IN
NPI1336345008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: IN  20041826A)
Additional Taxonomies103TF0200X Psychologist, Forensic
(Licence: IL  071006510)
Enumeration Date2007-06-21
Last Update Date2007-07-08
Business Address
Dr. MICHAEL JAMES JENUWINE Ph.D.
725 HOWARD ST
SOUTH BEND, IN 46617-1529
Phone number: 574-631-7795
Mailing Address
Dr. MICHAEL JAMES JENUWINE Ph.D.
725 HOWARD ST
SOUTH BEND, IN 46617-1529
Phone number: 574-631-7795