Provider Demographics
NPI:1033407291
Name:JARMON, IESHEA DANIELLA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:IESHEA
Middle Name:DANIELLA
Last Name:JARMON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3294
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-3294
Mailing Address - Country:US
Mailing Address - Phone:469-454-8277
Mailing Address - Fax:866-451-6890
Practice Address - Street 1:806 N HIGHWAY 67 STE C
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104
Practice Address - Country:US
Practice Address - Phone:469-454-8277
Practice Address - Fax:866-451-6890
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35189103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical