Individual
JODIE LEE DEMULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
33606 N 60TH ST, SCOTTSDALE, AZ 85262-5243
(480) 575-2149
Mailing address
PO BOX 426, CAVE CREEK, AZ 85327-0426
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910621
—
AZ
Enumeration date
02/12/2007
Last updated
07/26/2007
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