| Doctor Name: | DR. JANA P. CHICKINSKI |
| NPI Number: | 1154531101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 6881 |
| Business Practice Address: | 781 Main St Suite 3 Whitinsville, MA - 015881712 |
| Business Phone Number: | 7745516546 |
| Business Fax Number: | |
| Mailing Address: | 334 Providence Rd, SOUTH GRAFTON |
| State: | MA |
| Postal Code: | 015601335 |
| Phone Number: | 5088394486 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 6881 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |