Individual
JACK GARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSPP
Contact information
Practice address
7740 N 16TH ST STE 300, PHOENIX, AZ 85020-4473
(802) 274-5291
Mailing address
7740 N 16TH ST STE 300, PHOENIX, AZ 85020-4473
(802) 274-5291
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY-004725
AZ
Other
Enumeration date
02/21/2007
Last updated
09/24/2025
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