| NPI | 1780177071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH CHRISTIANO Owner 480-507-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 958) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 958) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 958) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |