Individual
MICHAEL DALE FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1158 E HACKAMORE ST, MESA, AZ 85203-4333
(480) 523-4840
Mailing address
1158 E HACKAMORE ST, MESA, AZ 85203-4333
(480) 523-4840
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
07/27/2007
Last updated
08/29/2007
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