| NPI | 1851542088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE R SHELTON Clinical Psychologist 520-326-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3585) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3545) |
| 103T00000X Psychologist (Licence: AZ 1812) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |