| NPI | 1003932898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE R WITTE Licensed Psychologist 928-526-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ AZ1575) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-11-11 |