| NPI | 1073981916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREDERICK LERNER Licensed Psychologist 602-405-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36992) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36992) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-20 |