| NPI | 1831551696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDEN PETRIE Clinical Psychologist 520-488-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4231) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-04-07 |