| NPI | 1700437506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY A FAGER Director Of Operations 480-729-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-02-26 |