Individual
PATRICIA LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.G.S
Contact information
Practice address
6128 W MCRAE WAY, GLENDALE, AZ 85308-7635
(401) 744-7543
Mailing address
6128 W MCRAE WAY, GLENDALE, AZ 85308-7635
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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