Individual
MICHAEL JOHN LINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., M.A.
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
201 W SURREY AVE, PHOENIX, AZ 85029-1824
(623) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875990
—
AZ
Enumeration date
03/08/2007
Last updated
07/26/2007
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