Jamie Matanovich in Phoenix - School

Jamie Matanovich - NPI 1962549683

Jamie Matanovich is a School in Phoenix, Arizona. Jamie Matanovich practices all healthcare services and medical treatments related to School. The NPI Number for Jamie Matanovich is 1962549683. The last update date is 2007-07-09.

Jamie Matanovich's current location address is 8042 N 11th Ave, Phoenix, Arizona. You can contact this provider via phone number 4806029434 and fax number 4804845106. The mailing address for Jamie Matanovich is 8042 N 11th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie Matanovich
Address 8042 N 11th Ave, Phoenix, Arizona
Phone Number 4806029434
Fax Number 4804845106
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1962549683
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 8042 N 11th Ave
City Phoenix
State Arizona (AZ)
Post Code 850215627
Phone Number 4806029434
Fax Number 4804845106

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No 187
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
732041 AZ --

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FAQs about Jamie Matanovich

What is the Jamie Matanovich's 1962549683?

The Jamie Matanovich's NPI (National Provider Identifier) Number is 1962549683. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jamie Matanovich located?

The Jamie Matanovich is located at 8042 N 11Th Ave, Phoenix, AZ 850215627.

What is the Jamie Matanovich's specialty and taxonomy code?

The Jamie Matanovich's specialty is School, and the corresponding taxonomy code is 103Ts0200X.

When was the Jamie Matanovich's 1962549683 issued?

The Jamie Matanovich's 1962549683 was issued on 2007-01-31.

When was the information regarding Jamie Matanovich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jamie Matanovich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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