| NPI | 1114438785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE TALLEY Psychologist 602-625-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OK 1087) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-11-22 |