Organization
HEALTHY BRAIN AGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY A FAGER (DIRECTOR OF OPERATIONS)
(480) 729-9610
Entity
Organization
Contact information
Practice address
14200 N NORTHSIGHT BLVD STE 100, SCOTTSDALE, AZ 85260-3947
(480) 729-9610
(480) 500-8345
Mailing address
14200 N NORTHSIGHT BLVD STE 100, SCOTTSDALE, AZ 85260-3947
(480) 729-9610
(480) 500-8345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
09/23/2019
Last updated
02/26/2020
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