| NPI | 1063953404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L MELTON Clinical Psychologist 602-832-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4459) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |