Organization
AMY CATHERINE JACKSON-GROSSBLAT
Active
Organization
AMY CATHERINE JACKSON-GROSSBLAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CATHERINE JACKSON-GROSSBLAT PHD (LICENSED PSYCHOLOGIST)
(269) 208-0002
Entity
Organization
Contact information
Practice address
5646 E MORNING VISTA LN, CAVE CREEK, AZ 85331-3446
(269) 208-0002
(480) 275-2598
Mailing address
5646 E MORNING VISTA LN, CAVE CREEK, AZ 85331-3446
(269) 208-0002
(480) 275-2598
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
AZ
Other
Enumeration date
10/29/2013
Last updated
11/26/2013
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