| NPI | 1184941726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE FAULHABER Neuropsychologist 480-570-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3972) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 3972) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CO 3972) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-01-29 |