Individual
DR. LUZ M MOGROVEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 368-5000
Mailing address
518 W DESERT LN, PHOENIX, AZ 85041-8117
(602) 368-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3644
AZ
Other
Enumeration date
11/07/2006
Last updated
07/14/2008
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