| NPI | 1366834533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL J KENNINGTON Clinical Psychologist 602-292-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4195) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |