Individual
DR. MICHAEL REYES MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17014 W BELL RD STE 100, SURPRISE, AZ 85374-2479
(623) 866-4484
(415) 252-7176
Mailing address
17014 W BELL RD STE 100, SURPRISE, AZ 85374-2479
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005525
AZ
103TC0700X
Clinical Psychologist
PSY-2022-0046
NM
Other
Enumeration date
05/20/2022
Last updated
04/18/2025
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