| NPI | 1386977270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. GILL Manager 928-282-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |