| NPI | 1184071086 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN M DENBOER President 480-861-0020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4026)  | 
| Enumeration Date | 2016-05-20 | 
| Last Update Date | 2016-05-20 |