Individual
DR. ELIZABETH DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3120 N RED MOUNTAIN, MESA, AZ 85207-1068
(480) 472-8736
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-9028
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728389
—
AZ
Enumeration date
02/12/2007
Last updated
07/08/2007
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