# EAST VALLEY CHILD PSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003469057
- **Authorized official:** DR. MADISON KNIGHT PHD (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (480) 202-1285

## Contact information

- **Practice address:** 1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
- **Practice address phone:** (480) 202-1285
- **Mailing address:** 3331 S HUACHUCA WAY, CHANDLER, AZ 85286-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 07/18/2019