| NPI | 1801325493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN R. HONKE Owner 480-292-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4383) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4383) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |