Individual
MR. JON IVAN SEBESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
887325
AHCCCS
AZ
Enumeration date
02/08/2007
Last updated
07/08/2007
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