Jardine, Douglas Seymour

Jardine, Douglas Seymour is an sole proprietor health care provider with primary practice located at 2649 E Beekman Pl , Phoenix AZ 85016-7485. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Jardine, Douglas Seymour can be contacted via phone (602) 538-9094.

Contact Information

Primary practice address
2649 E Beekman Pl Phoenix AZ 85016-7485
Phone: (602) 538-9094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 10136 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 11406 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT10136 Arizona

Profile Details

NPI number 1952463226
LBN Legal business name Jardine, Douglas Seymour
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952463226 NPPES
Arizona Other 817132 AHCCCS

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