| NPI | 1629308614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LEE THOMAS Sole Owner 480-497-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3634) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |