Jerold Scott Phelps, PH.D.

NPI #1215102264 in La Jolla, California

Provider Information

NPI Number: 1215102264
Entity Type: Individual
Name: Jerold Scott Phelps, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 9500 GILMAN DRIVE 0304
City: La Jolla
State: California
ZIP Code: 92093-0304
Phone: (858) 822-2614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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