Individual
MRS. STACEY ANN AKHBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 493-6245
(602) 493-6248
Mailing address
15002 N. 32ND ST., PHOENIX, AZ 85032-4441
(602) 493-6245
(602) 493-6248
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620163
—
AZ
Enumeration date
11/07/2006
Last updated
07/09/2007
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