Individual
KATRINA BUWALDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2039 S MILL AVE, SUITE B, TEMPE, AZ 85282-2137
(480) 921-3314
(480) 967-0174
Mailing address
2039 S MILL AVE, SUITE B, TEMPE, AZ 85282-2137
(480) 921-3314
(480) 967-0174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3905
AZ
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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