| NPI | 1790980134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D MESSER Owner 480-332-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3533) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 3533) |
| 103T00000X Psychologist (Licence: AZ 3533) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 3533) | |
| 103TH0100X Psychologist Health Service (Licence: AZ 3533) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AZ 3533) | |
| 103TR0400X Psychologist Rehabilitation (Licence: AZ 3533) | |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2015-08-04 |