Organization
ARIZONA NEUROPSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PAGE O'BRIEN PH.D. (PRESIDENT)
(480) 945-3475
Entity
Organization
Contact information
Practice address
9832 N HAYDEN RD, SUITE 106, SCOTTSDALE, AZ 85258-1298
(480) 945-3475
(480) 922-5569
Mailing address
9832 N HAYDEN RD, SUITE 106, SCOTTSDALE, AZ 85258-1298
(480) 945-3475
(480) 922-5569
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z60229
MEDICARE GROUP PIN
AZ
Enumeration date
03/06/2007
Last updated
01/11/2008
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