Individual
CAMEA PECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14799 W SURREY DR, SURPRISE, AZ 85379-4256
(602) 422-1581
Mailing address
14799 W SURREY DR, SURPRISE, AZ 85379-4256
(602) 422-1581
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
08/08/2024
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