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Individual

JAINE M FOSTER-VALDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH,D,

Contact information

Practice address
5441 E 22ND ST, SUITE 135, TUCSON, AZ 85711-5441
(520) 790-2580
Mailing address
PO BOX 17566, TUCSON, AZ 85731-7566
(520) 296-5909

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1323
AZ
103T00000X
Psychologist
1323
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
1323
AZ
103TR0400X
Rehabilitation Psychologist
1323
AZ

Other

Enumeration date
03/15/2007
Last updated
06/18/2009
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