Healthcare Provider Details

I. General information

NPI: 1033407291
Provider Name (Legal Business Name): IESHEA DANIELLA JARMON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 N HIGHWAY 67 STE C
CEDAR HILL TX
75104
US

IV. Provider business mailing address

PO BOX 3294
CEDAR HILL TX
75106-3294
US

V. Phone/Fax

Practice location:
  • Phone: 469-454-8277
  • Fax: 866-451-6890
Mailing address:
  • Phone: 469-454-8277
  • Fax: 866-451-6890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35189
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: