Individual
DR. JEREMY DANIEL BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10 CALLE CASIA, VA MEDICAL CENTER (116B), SAN JUAN, PR 00921-3201
(801) 318-2439
Mailing address
3936 ADMIRABLE DR, RANCHO PALOS VERDES, CA 90275-6028
(801) 318-2439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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