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Individual

JEREMIAH D ISBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
777 E MISSOURI AVE, PHOENIX, AZ 85014-2830
(602) 570-4038
Mailing address
1301 W VILLA RITA DR, PHOENIX, AZ 85023-1439
(602) 570-4038

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4884
AZ

Other

Enumeration date
10/18/2019
Last updated
10/18/2019
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