Individual
ALEXANDER PIATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1012 E WILLETTA ST, 3RD & 5TH FLOOR, PHOENIX, AZ 85006-2749
(602) 239-2361
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453374
—
AZ
Enumeration date
03/10/2006
Last updated
07/05/2011
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