Individual
TODD MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 S ROGERS, MESA, AZ 85202-6524
(480) 456-3257
Mailing address
2055 S ROGERS, MESA, AZ 85202-6524
(480) 456-3257
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3286850
AZ
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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