Healthcare Provider Details

I. General information

NPI: 1346388717
Provider Name (Legal Business Name): DAVID G. JARMON, PH.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8160 N HAYDEN RD SUITE J-112
SCOTTSDALE AZ
85258-2467
US

IV. Provider business mailing address

5070 N 40TH ST STE 220
PHOENIX AZ
85018-2148
US

V. Phone/Fax

Practice location:
  • Phone: 480-905-8755
  • Fax:
Mailing address:
  • Phone: 602-957-2368
  • Fax: 602-957-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3739
License Number StateAZ

VIII. Authorized Official

Name: DR. DAVID G JARMON
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 480-370-8902