Individual
DR. CARISA ISHISIA AUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
703 S MAIN ST, SUITE 15, COTTONWOOD, AZ 86326-4615
(928) 215-1039
Mailing address
PO BOX 2155, COTTONWOOD, AZ 86326-2155
(928) 215-1039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4724
AZ
Other
Enumeration date
01/31/2007
Last updated
05/10/2016
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