| NPI | 1336349513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD STANLEY MAYER Licensed Psychologist 602-943-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1204) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |