Individual
MR. ERIC KEITH JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6610
Mailing address
11748 N RAIN ROCK WAY, TUCSON, AZ 85737-9011
(520) 742-4226
(520) 742-4226
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598104
AHCCCS
AZ
Enumeration date
04/10/2007
Last updated
07/26/2007
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