Organization
PAMELA S KLONOFF PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA S KLONOFF PHD (PRESIDENT)
(602) 406-3473
Entity
Organization
Contact information
Practice address
222 W THOMAS RD, SUITE 401, PHOENIX, AZ 85013-4419
(602) 406-3473
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1239
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731332
—
AZ
Enumeration date
02/10/2006
Last updated
04/07/2011
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