Provider Demographics
NPI:1346388717
Name:DAVID G. JARMON, PH.D., LLC
Entity Type:Organization
Organization Name:DAVID G. JARMON, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:JARMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-370-8902
Mailing Address - Street 1:5070 N 40TH ST
Mailing Address - Street 2:STE 220
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2148
Mailing Address - Country:US
Mailing Address - Phone:602-957-2368
Mailing Address - Fax:602-957-0050
Practice Address - Street 1:8160 N HAYDEN RD
Practice Address - Street 2:SUITE J-112
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2467
Practice Address - Country:US
Practice Address - Phone:480-905-8755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3739103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ120634Medicare PIN
AZZ120633Medicare PIN