Detter, Jared Alan

Detter, Jared Alan is an individual health care provider with primary practice located at 338 S Dakota Ave , Vandenberg Afb CA 93437-6307. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Detter, Jared Alan can be contacted via phone (805) 606-8217.

Contact Information

Primary practice address
338 S Dakota Ave Vandenberg Afb CA 93437-6307
Phone: (805) 606-8217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1083707780
LBN Legal business name Detter, Jared Alan
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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