Individual
LESLIE MONTIJO-TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY-D
Contact information
Practice address
2225 N 16TH ST, PHOENIX, AZ 85006-1823
(602) 218-8194
Mailing address
2225 N 16TH ST, PHOENIX, AZ 85006-1823
(602) 218-8194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-004905
AZ
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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