Individual
MARY BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3655 W ANTHEM WAY, 145, ANTHEM, AZ 85086-0430
(480) 818-1979
Mailing address
3655 W ANTHEM WAY, 145, ANTHEM, AZ 85086-0430
(480) 818-1979
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
152
AZ
103TC1900X
Counseling Psychologist
152
AZ
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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