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 |