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Individual
DR. PHILLIP D LETT
Active
Individual
DR. PHILLIP D LETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1627
AZ
103T00000X
Psychologist
1627
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1627
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
1627
AZ
103TR0400X
Rehabilitation Psychologist
Primary
1627
AZ
Other
Enumeration date
05/04/2006
Last updated
04/12/2013
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