Individual
DR. MAMIKO ODEGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10250 N 92ND ST, SUITE 303, SCOTTSDALE, AZ 85258-4510
(480) 391-1184
(480) 391-9717
Mailing address
10250 N 92ND ST, SCOTTSDALE, AZ 85258-4510
(480) 391-1184
(480) 391-9717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1113
AZ
Other
Enumeration date
05/05/2007
Last updated
04/26/2008
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