Individual
JENNIFER LYNN DISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
Mailing address
8730 W MCLELLAN RD, GLENDALE, AZ 85305-2073
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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