Individual
MRS. CYNTHIA HAYLOCK-PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924
Mailing address
18045 W ACAPULCO LN, SURPRISE, AZ 85388-8733
(623) 691-4718
(623) 691-5924
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3694642
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3694642
—
AZ
Enumeration date
05/19/2009
Last updated
05/19/2009
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