Individual
IZABELA PEVIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
815 N 52ND ST, APT 1303, PHOENIX, AZ 85008-6734
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4189369
AZ
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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