| NPI | 1376701508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN E KELLER Psychologist 602-996-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 503) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |