Jessica M Potvin in Phoenix - Clinical Neuropsychologist
Jessica M Potvin - NPI 1285720771
Jessica M Potvin is a Clinical Neuropsychologist in Phoenix, Arizona. Jessica M Potvin practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jessica M Potvin is 1285720771. The last update date is 2022-09-26.
Jessica M Potvin's current location address is 222 W Thomas Rd Ste 315, Phoenix, Arizona. You can contact this provider via phone number 6024063671 and fax number 6024066115. The mailing address for Jessica M Potvin is 222 W Thomas Rd Ste 315, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica M Potvin |
|---|---|
| Address | 222 W Thomas Rd Ste 315, Phoenix, Arizona |
| Phone Number | 6024063671 |
| Fax Number | 6024066115 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285720771 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-09-26 |
Provider Mailing Address Detail
| Address | 222 W Thomas Rd Ste 315 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850134422 |
| Phone Number | 6024063671 |
| Fax Number | 6024066115 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 3807 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Could you share the physical location details of Jessica M Potvin?
The Jessica M Potvin is situated at 222 W Thomas Rd Ste 315, in the city of Phoenix, state of AZ, with the zip code 850134422.
When did Jessica M Potvin receive its 1285720771 assignment?
The Jessica M Potvin was assigned its 1285720771 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285720771 to Jessica M Potvin?
The Centers for Medicare & Medicaid Services originally issued the 1285720771 to Jessica M Potvin on 2006-10-04.
As of what date were the details pertaining to Jessica M Potvin last refreshed?
The information related to the Jessica M Potvin, including its address, specialty, and other relevant details, was last updated on 2022-09-26.
When was the information regarding Jessica M Potvin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessica M Potvin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-09-26.