| NPI | 1336112093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S KLONOFF President 602-406-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 1239) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-04-07 |