| NPI | 1144614264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHARLES ROBERSON Licensed Psychologist 623-486-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1843) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |