Organization
MOUNTAIN WAVES HEALING ARTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE R WITTE PH.D. (LICENSED PSYCHOLOGIST)
(928) 526-1961
Entity
Organization
Contact information
Practice address
2323 E GREENLAW LN, SUITE 10, FLAGSTAFF, AZ 86004-1810
(928) 526-5171
Mailing address
2323 E GREENLAW LN, SUITE 10, FLAGSTAFF, AZ 86004-1810
(928) 526-5171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
AZ1575
AZ
Other
Enumeration date
03/22/2007
Last updated
11/11/2009
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