| NPI | 1760739007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARI ROTH-ROEMER Owner 480-261-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3240) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 3240) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3808) | |
| 103TH0004X Psychologist, Health (Licence: AZ 3240) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |