Individual
JILL TERESA CAFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
403 W COOL DR STE 107, TUCSON, AZ 85704
(520) 329-8298
(520) 329-8311
Mailing address
403 W COOL DR STE 107, TUCSON, AZ 85704-6551
(520) 329-8298
(520) 329-8311
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2023
AZ
103T00000X
Psychologist
2023
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186644
—
AZ
01
—
236799
MANAGED HEALTH NETWORK
AZ
01
—
5385585
AETNA
AZ
01
—
P00646501
MEDICARE RAILROAD
AZ
Enumeration date
02/13/2007
Last updated
11/14/2019
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