Individual
DR. JOSEPH A GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7600 N 16TH ST STE 110, PHOENIX, AZ 85020-4446
(602) 368-3282
Mailing address
7600 N 16TH ST STE 110, PHOENIX, AZ 85020-4446
(602) 368-3282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA15
AZ
103TB0200X
Cognitive & Behavioral Psychologist
3913
AZ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3913
AZ
Other
Enumeration date
09/22/2008
Last updated
03/05/2020
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