Doctor Name: | DAVID J MCINTYRE |
NPI Number: | 1003920745 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., ABPP |
License Number: | 3679 |
Business Practice Address: | 1910 W 19th Ave Apache Junction, AZ - 851206982 |
Business Phone Number: | 4804955685 |
Business Fax Number: | |
Mailing Address: | 1910 W 19th Ave, APACHE JUNCTION |
State: | AZ |
Postal Code: | 851206982 |
Phone Number: | 4804955685 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |