Individual
DR. JOHN DAVID MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1084 SAN TAN HILLS DR, QUEEN CREEK, AZ 85243-3489
(480) 888-7520
Mailing address
PO BOX 2850, FLORENCE, AZ 85232-2850
(520) 866-3500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4056
AZ
103TC0700X
Clinical Psychologist
Primary
4056
AZ
103TS0200X
School Psychologist
3313826
AZ
Other
Enumeration date
09/05/2007
Last updated
10/14/2009
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