| NPI | 1972029205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LONG Owner/Psychologist 602-904-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 4207) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |