Individual
DR. EMILY TEPOUHA BASHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13430 NORTH SCOTTSDALE ROAD, SUITE #301A, SCOTTSDALE, AZ 85254
(602) 909-0408
Mailing address
P.O. BOX 54837, PHOENIX, AZ 85078
(602) 909-0408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4816
AZ
103TC0700X
Clinical Psychologist
4816
AZ
103TF0200X
Forensic Psychologist
4816
AZ
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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