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Organization
ARIZONA NEUROFEEDBACK CENTER LLC
Active
Organization
ARIZONA NEUROFEEDBACK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P DIAMOND M.A. (DIRECTOR)
(928) 227-2900
Entity
Organization
Contact information
Practice address
7592 E PALO VERDE ST, SUITE A, PRESCOTT VALLEY, AZ 86314-3235
(928) 227-2900
(928) 277-1494
Mailing address
7592 E PALO VERDE ST, SUITE A, PRESCOTT VALLEY, AZ 86314-3235
(928) 227-2900
(928) 277-1494
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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