Individual
JAY D SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2034 E SOUTHERN AVE, SUITE K, TEMPE, AZ 85282-7522
(480) 946-1430
Mailing address
PO BOX 24076, TEMPE, AZ 85285-4076
(480) 946-1430
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3119
AZ
103TC0700X
Clinical Psychologist
Primary
3119
AZ
Other
Enumeration date
12/27/2006
Last updated
06/09/2009
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