| NPI | 1174071963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K BRADLEY Clinical Psychologist 480-917-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3451) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |