Jared Alan Detter PSYD

NPI 1083707780 - Psychologist - 103T00000X

NPI Details
NPI 1083707780
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
338 S DAKOTA AVE
VANDENBERG AFB CA, 93437-6307, US
Phone (805) 606-8217
Fax
Business Location
338 S DAKOTA AVE
VANDENBERG AFB CA, 93437-6307, US
Phone (805) 606-8217
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
Remove 1083707780 NPI Number
 

According to our database, Dr. Jared Alan Detter PSYD NPI is 1083707780, taxonomy code is 103T00000X Jared Alan Detter PSYD physically located at 338 S Dakota Ave, Vandenberg Afb CA, 93437-6307. NPI Number Jared Alan Detter PSYD has the Individual type.

Sponsored links

1083707780 NPI number is provided on an as is basis without warranty of any kind. 1083707780 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Alan Detter PSYD are for informational purposes only.