Jary, Donald R

Jary, Donald R is an sole proprietor health care provider with primary practice located at 1805 Medical Center Dr , San Bernardino CA 92411-1217. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jary, Donald R can be contacted via phone (858) 205-5394.

Contact Information

Primary practice address
1805 Medical Center Dr San Bernardino CA 92411-1217
Phone: (858) 205-5394
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12654 California

Profile Details

NPI number 1699701250
LBN Legal business name Jary, Donald R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Apr 20th, 2009 - about 16 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 1699701250 NPPES
California MEDICAID PSY126542

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