Individual
STEPHANIE R MIDDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(480) 855-4011
Mailing address
1736 E GAIL DR, CHANDLER, AZ 85225-8712
(602) 708-6338
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
005100
AZ
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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