Organization
PEORIA UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA ELIZABETH MATTINGLY EDS (SCHOOL PSYCHOLOGIST)
(214) 952-6054
Entity
Organization
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
5824 W ELECTRA LN, GLENDALE, AZ 85310-3636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AZ
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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