Jon Jay Vandoren in Scottsdale - Clinical Neuropsychologist

Jon Jay Vandoren - NPI 1114072220

Jon Jay Vandoren is a Clinical Neuropsychologist in Scottsdale, Arizona. Jon Jay Vandoren practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jon Jay Vandoren is 1114072220. The last update date is 2008-01-14.

Jon Jay Vandoren's current location address is 6702 E Cactus Rd, Scottsdale, Arizona. You can contact this provider via phone number 6023217202 and fax number 4809225569. The mailing address for Jon Jay Vandoren is 6702 E Cactus Rd, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Jay Vandoren
Address 6702 E Cactus Rd, Scottsdale, Arizona
Phone Number 6023217202
Fax Number 4809225569
Sole Proprietor N
Credentials PH. D.

NPI Number Detail

NPI Number 1114072220
Provider Enumeration Date 2007-01-25
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address 6702 E Cactus Rd
City Scottsdale
State Arizona (AZ)
Post Code 852544557
Phone Number 6023217202
Fax Number 4809225569

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 2081
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z60229 AZ MEDICARE GROUP PIN

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FAQs about Jon Jay Vandoren

What is the unique 10-digit identifier code issued to Jon Jay Vandoren by the Centers for Medicare & Medicaid Services?

The Jon Jay Vandoren has been assigned the NPI (National Provider Identifier) 1114072220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jon Jay Vandoren?

The Jon Jay Vandoren is physically situated at 6702 E Cactus Rd, in the city of Scottsdale, state of AZ, with the postal code 852544557.

What is the Jon Jay Vandoren's specialty and taxonomy code?

The Jon Jay Vandoren's specialty is Clinical Neuropsychologist, and the corresponding taxonomy code is 103G00000X.

When did the Jon Jay Vandoren receive its 1114072220?

The Jon Jay Vandoren was issued its 1114072220 on 2007-01-25, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Jon Jay Vandoren, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jon Jay Vandoren, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-14.

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