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Individual

DR. JOHN RUBEN DELATORRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1930 S ALMA SCHOOL RD STE B120, MESA, AZ 85210-3051
(480) 777-8807
(480) 777-8871
Mailing address
2923 N 28TH PL, PHOENIX, AZ 85016-8002
(361) 960-3806

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5029
AZ

Other

Enumeration date
10/06/2018
Last updated
10/06/2018
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