Organization
GILBERT INDIVIDUAL & FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G. DAVIDSON-METHOT PHD (MANAGING PARTNER)
(480) 262-0326
Entity
Organization
Contact information
Practice address
33 N LINDSAY RD, SUITE 103E, GILBERT, AZ 85234-5807
(480) 262-0326
Mailing address
33 N LINDSAY RD, SUITE 103E, GILBERT, AZ 85234-5807
(480) 262-0326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3732
AZ
106H00000X
Marriage & Family Therapist
10245
AZ
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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