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Individual

DR. RENE J MCGOVERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH D

Contact information

Practice address
7301 E 3RD AVE, UNIT 405, SCOTTSDALE, AZ 85251-4451
(660) 341-5030
(480) 773-6063
Mailing address
7301 E 3RD AVE, UNIT 405, SCOTTSDALE, AZ 85251-4451
(660) 341-5030
(480) 773-6063

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0475
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
499779817
MO
Enumeration date
08/10/2005
Last updated
03/30/2009
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