Individual
DR. JOSIAH B DRAWHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., N.D., TH.D.
Contact information
Practice address
1225 HANCOCK RD, SUITE 301, BULLHEAD CITY, AZ 86442-5948
(928) 758-8255
(928) 758-4632
Mailing address
1225 HANCOCK RD, SUITE 301, BULLHEAD CITY, AZ 86442-5948
(928) 758-8255
(928) 758-4632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WAITING 4 TEST DATE
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEING SENT TO ME
ICAADA MEMBER (THIS IS A NEW BUSINESS. WE ARE IN PROCESS OF APPLYING TO ALL
—
Enumeration date
04/26/2010
Last updated
04/26/2010
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