Individual
DR. JONATHAN TITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., NCSP
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4800
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4800
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4194918
AZ
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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