IndividualActive
Jan Cavanaugh, PHD
NPI 1629005681 · Clinical Psychologist · Wilmington, DE
Provider details
- NPI number
- 1629005681
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- B1-0000713 (DE)
Practice location
840 S Broom St
Wilmington, DE 19805-4245
Phone: (800) 819-1655
Fax: (800) 819-1655
Mailing address
4715 Viewridge Ave
San Diego, CA 92123-1680
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.