| NPI | 1689114878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN KIM KEAVENY Psychologist 480-430-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4826) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: AZ 4826) |
| 103TH0004X Psychologist, Health (Licence: AZ 4826) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2018-02-15 |