Organization
JAY D SUMMERS, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D SUMMERS PHD (OWNER)
(480) 945-3475
Entity
Organization
Contact information
Practice address
9832 N HAYDEN RD, SUITE 16, SCOTTSDALE, AZ 85258-1298
(480) 945-3475
Mailing address
9832 N HAYDEN RD, SUITE 16, SCOTTSDALE, AZ 85258-1298
(480) 945-3475
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3119
AZ
103T00000X
Psychologist
Primary
3119
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3119
AZ
103TB0200X
Cognitive & Behavioral Psychologist
3119
AZ
103TC0700X
Clinical Psychologist
3119
AZ
103TC1900X
Counseling Psychologist
3119
AZ
103TF0200X
Forensic Psychologist
3119
AZ
103TH0100X
Health Service Psychologist
3119
AZ
103TR0400X
Rehabilitation Psychologist
3119
AZ
Other
Enumeration date
09/22/2007
Last updated
09/22/2007
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