Individual
JASON JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
2401 S LINDEN RD, FLINT, MI 48532
(810) 957-4310
(810) 957-4309
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015258
MI
103TC0700X
Clinical Psychologist
6301015258
MI
103TC0700X
Clinical Psychologist
Primary
6361006732
MI
Other
Enumeration date
11/05/2012
Last updated
04/30/2020
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