Organization
UPTOWN PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization
UPTOWN PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE O'CONNOR PSY.D. (OWNER)
(480) 999-6020
Entity
Organization
Contact information
Practice address
517 W JASPER DR, CHANDLER, AZ 85225-6542
(480) 999-6020
Mailing address
PO BOX 1581, CHANDLER, AZ 85244-1581
(480) 999-6020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4846
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4846
MEDICAL LICENSE
AZ
Enumeration date
01/29/2018
Last updated
01/29/2018
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