Individual
MS. OLIVIA JANE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(708) 717-2707
Mailing address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4919405
AZ
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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