| NPI | 1457876799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN R AHLSTRAND Clinical Neuropsychologist 520-954-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3730) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3730) |
| 103TR0400X Psychologist, Rehabilitation (Licence: AZ 3730) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-09-26 |