Individual
AMY JACKSON-GROSSBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5646 E MORNING VISTA LN, CAVE CREEK, AZ 85331-3446
(269) 208-0002
(480) 275-2598
Mailing address
5646 E MORNING VISTA LN, CAVE CREEK, AZ 85331-3446
(269) 208-0002
(480) 275-2598
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4447
AZ
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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