Individual
SIERRA KELSEY DIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BANNER SPORTS MEDICINE CLINIC-SCOTTSDALE, 7400 N. DOBSON RD., SCOTTSDALE, AZ 85256
(480) 733-7400
Mailing address
BANNER SPORTS MEDICINE CLINIC- SCOTTSDALE, 7400 N. DOBSON RD., SCOTTSDALE, AZ 85256
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY-005714
AZ
Other
Enumeration date
08/22/2019
Last updated
09/15/2023
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