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Organization

TRUE DIFFERENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAN NEWTON SHORT (PSYCHOLOGIST)
(480) 329-5359
Entity
Organization

Contact information

Practice address
9855 E LARKSPUR DR, SCOTTSDALE, AZ 85260-5145
(480) 329-5359
Mailing address
9855 E LARKSPUR DR, SCOTTSDALE, AZ 85260
(480) 329-5359

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11162
AZ
103TC0700X
Clinical Psychologist
Primary
3499
AZ

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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