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Individual

MAYA RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4866
Mailing address
900 N RURAL RD APT 2097, CHANDLER, AZ 85226-6099

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134831
AZ
Enumeration date
04/09/2007
Last updated
07/26/2007
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