Individual
DAVID JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
12922 W LA VINA DR, SUN CITY WEST, AZ 85375-2674
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3622575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133346
—
AZ
Enumeration date
03/01/2007
Last updated
07/09/2007
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