Individual
MR. JEREMY TODD EHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S., NCSP
Contact information
Practice address
20740 S ELLSWORTH RD, QUEEN CREEK, AZ 85242-9058
(480) 987-5900
(480) 987-9714
Mailing address
19450 E REINS RD, QUEEN CREEK, AZ 85242-8612
(480) 987-0318
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3671793
AZ
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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