Individual
DR. PHILLIP D LETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4222 E CAMELBACK RD, H230, PHOENIX, AZ 85018-2732
(602) 852-0911
(602) 852-0632
Mailing address
4222 E CAMELBACK RD, H230, PHOENIX, AZ 85018-2745
(602) 852-0911
(602) 852-0632
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1627
AZ
103T00000X
Psychologist
1627
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1627
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
1627
AZ
103TR0400X
Rehabilitation Psychologist
Primary
1627
AZ
Other
Enumeration date
05/04/2006
Last updated
04/12/2013
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