| NPI | 1518141985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMNER JAY SYDEMAN Az Licensed Psychologist 928-779-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3538) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-04-09 |