Individual
MAUREEN LASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1234 S POWER RD, SUITE 254, MESA, AZ 85206-3700
(480) 785-0525
(480) 656-4528
Mailing address
1234 S POWER RD, SUITE 254, MESA, AZ 85206-3700
(480) 785-0525
(480) 656-4528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
691
AZ
Other
Enumeration date
01/22/2007
Last updated
12/20/2019
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