Individual
JAMIE ANNETTE WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3651 E BASELINE RD STE E-204, GILBERT, AZ 85234-2689
(480) 272-4740
(480) 633-7788
Mailing address
3651 E BASELINE RD STE E-204, GILBERT, AZ 85234-2689
(480) 272-4740
(480) 633-7788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4316
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
PSB-35421
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/21/2010
Last updated
08/28/2012
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