Individual
DR. LOUISE M. BACA ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E BANNER GATEWAY DRIVE, SUITE 400, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2058
AZ
Other
Enumeration date
08/04/2019
Last updated
12/19/2019
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