| NPI | 1780629923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC S. WALTER President 602-944-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PHD856) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-02-13 |