Individual
MR. BRIAN PAUL KLINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2999 N 44TH ST STE 415, PHOENIX, AZ 85018-7251
(602) 675-0335
(602) 865-8089
Mailing address
2999 N 44TH ST STE 415, PHOENIX, AZ 85018-7251
(602) 675-0335
(602) 865-8089
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1897
SC
103G00000X
Clinical Neuropsychologist
Primary
4039
AZ
103G00000X
Clinical Neuropsychologist
PY1234
NV
103TC0700X
Clinical Psychologist
1897
SC
103TC0700X
Clinical Psychologist
4039
AZ
103TC0700X
Clinical Psychologist
PY1234
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441623
—
AZ
Enumeration date
04/03/2009
Last updated
09/25/2025
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