| NPI | 1336328806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN THOMAS Clinical Neuropsychologist 623-512-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3573) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3573) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |