Individual
ELOISA MILLAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3929 W IRWIN AVE, PHOENIX, AZ 85041-6045
(602) 708-7938
Mailing address
3929 W IRWIN AVE, PHOENIX, AZ 85041-6045
(602) 708-7938
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
—
—
253J00000X
Foster Care Agency
Primary
—
AZ
385HR2055X
Child Mental Illness Respite Care
—
AZ
Other
Enumeration date
01/11/2019
Last updated
08/27/2025
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