DR. Jared Alan Detter, PSYD

NPI #1083707780 in Vandenberg Afb, California

Provider Information

NPI Number: 1083707780
Entity Type: Individual
Name: DR. Jared Alan Detter, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 338 S DAKOTA AVE
City: Vandenberg Afb
State: California
ZIP Code: 93437-6307
Phone: (805) 606-8217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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