NPI | 1952546863 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM L JOHNSON Licensed Psychologist 480-491-5501 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1796) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: AZ 1796) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 1796) | |
Enumeration Date | 2008-12-05 |
Last Update Date | 2008-12-05 |