Provider Demographics
NPI:1346201852
Name:HELGESON, DAVID C (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:HELGESON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8149 N 87TH PL
Mailing Address - Street 2:108
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4399
Mailing Address - Country:US
Mailing Address - Phone:480-860-9644
Mailing Address - Fax:480-661-6048
Practice Address - Street 1:8149 N 87TH PL
Practice Address - Street 2:108
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4399
Practice Address - Country:US
Practice Address - Phone:480-860-9644
Practice Address - Fax:480-661-6048
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-01
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1730103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0606710OtherBC/BS
AZAZ0606710OtherBC/BS