Individual
LISA A EHLENBERGER-WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAGS
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4866
(602) 304-3132
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4866
(602) 304-3132
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3258273
AZ
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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