SPECTRUM VILLAGE, PLLC

PHOENIX, AZ
NPI1841686078
Entity TypeOrganization
Authorized ContactLORI KIM LICHTE-BRILL
Chief Clinical Officer
602-910-0526
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AZ  4484)
Additional Taxonomies103K00000X Behavior Analyst
(Licence: AZ  127)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
SPECTRUM VILLAGE, PLLC
4150 W PEORIA AVE STE. 133
PHOENIX, AZ 85029-3900
Phone number: 602-910-0526
Mailing Address
SPECTRUM VILLAGE, PLLC
4150 W PEORIA AVE STE. 133
PHOENIX, AZ 85029-3900
Phone number: 602-910-0526