Individual
GREGORY SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
414 S MILL AVE STE 210, TEMPE, AZ 85281-2850
(602) 402-9042
Mailing address
414 S MILL AVE STE 210, TEMPE, AZ 85281-2850
(602) 402-9042
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
003029
AZ
103TC0700X
Clinical Psychologist
Primary
003029
AZ
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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