Most Relevant Information
Provider Data
| NPI Number: | 1003804451 |
| Provider Name: | JACQUELYN ST. GERMAINE PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 3017 |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
380 E FORT LOWELL RD
#122
TUCSON
AZ
857053985
Practice Location Phone/Fax
| Phone: | 5203256097 |
| Fax: | 5205311095 |
Provider Mailing Location
380 E. FORT LOWELL ROAD
#122
TUCSON
AZ
85705
Provider Mailing Phone/Fax
| Phone: | 5203256097 |
| Fax: | 5205311095 |