| NPI | 1649556234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN NEWTON SHORT Psychologist 480-329-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3499) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ 11162) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |