| NPI | 1073783874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATTERSON Office Manager 602-347-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3013) |
| Additional Taxonomies | 175L00000X Homeopath (Licence: AZ 67) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20811) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-06-20 |