| NPI | 1235311499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RAYMOND SUMMERHILL Managing Member/ Psychologist 480-488-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 2026) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1111) |
| 103G00000X Clinical Neuropsychologist (Licence: AZ 3809) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AZ 2029) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: AZ 2029) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 3809) | |
| 103TC0700X Psychologist Clinical (Licence: AZ 3809) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AZ 3809) | |
| 103TF0000X Psychologist Family (Licence: AZ 2029) | |
| 103TF0200X Psychologist Forensic (Licence: AZ 2029) | |
| 103TH0004X Psychologist Health (Licence: AZ 2029) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AZ 2029) | |
| 103TS0200X Psychologist School | |
| 104100000X Social Worker (Licence: IA 08246) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ 2029) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |