Organization
PSYCHOTHERAPY INNOVATIONS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ANDREW MALM PSY. D. (OWNER)
(602) 326-7438
Entity
Organization
Contact information
Practice address
1130 E MISSOURI AVE, SUITE 780, PHOENIX, AZ 85014-2718
(602) 326-7438
(602) 513-7303
Mailing address
1130 E MISSOURI AVE, SUITE 780, PHOENIX, AZ 85014-2718
(602) 326-7438
(602) 513-7303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12213
AZ
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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