| NPI | 1609906932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAGE O'BRIEN President 480-945-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| 103TH0100X Psychologist, Health Service | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-01-11 |