| NPI | 1073962148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARIE LESPERANCE Clinical Psychologist 480-550-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4629) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-05-07 |