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Individual

DR. MICHAEL VICKROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3060 N SWAN ROAD, TUCSON, AZ 85712
(520) 751-8500
(520) 751-8501
Mailing address
3060 N SWAN ROAD, TUCSON, AZ 85712
(520) 751-8500
(520) 751-8501

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
015106
NY
103TC0700X
Clinical Psychologist
Primary
3562
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766503
AZ
Enumeration date
10/23/2006
Last updated
06/08/2018
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