| NPI | 1942000955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DOMANN Clinical Psychologist 602-824-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-04-07 |