| NPI | 1952610735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J GOLDBERG President 480-831-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ az 1045) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ az 1045) |
| 103TH0004X Psychologist, Health (Licence: AZ az 1045) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |