| NPI | 1003254871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRA STAFFORD Clinical Psychologist 602-456-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4402) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |