Mcintyre, David J

Mcintyre, David J is an sole proprietor health care provider with primary practice located at 4500 S Lakeshore Dr Suite 300, Tempe AZ 85282-7052. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcintyre, David J can be contacted via phone (480) 495-5685.

Contact Information

Primary practice address
4500 S Lakeshore Dr Suite 300 Tempe AZ 85282-7052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3679 Arizona

Profile Details

NPI number 1003920745
LBN Legal business name Mcintyre, David J
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Dec 12th, 2016 - about 9 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 1003920745 NPPES
Arizona MEDICAID 955619

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