Day, Jerry Richard
Day, Jerry Richard is an sole proprietor health care provider with primary practice located at 1200 N El Dorado Pl # F640 , Tucson AZ 85715-4637. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Day, Jerry Richard can be contacted via phone (520) 298-9746.Contact Information
Primary practice address
1200 N El Dorado Pl # F640
Tucson AZ 85715-4637
Phone: (520) 298-9746
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Family | 103TF0000X | EDD125 | Arizona |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | EDD125 | Arizona |
Profile Details
NPI number | 1326196494 |
---|---|
LBN Legal business name | Day, Jerry Richard |
Credentials | ED.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 8th, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326196494 | NPPES |
Arizona | Other | 234020 | MHN |
Arizona | Other | AZ0616580 | MHN |
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