| NPI | 1194270181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NICHOLLS Clinical Neuropsychologist 480-998-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4711) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |