| NPI | 1487619342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL L GELBER Licensed Psychologist 928-777-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1621) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |