| NPI | 1871348748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT BERNSTEIN Board Chairman 602-837-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |