Individual
KYLE VESSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2625 E CHERYL DR, PHOENIX, AZ 85028-4319
(602) 493-0172
Mailing address
2625 E CHERYL DR, PHOENIX, AZ 85028-4319
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3316665
AZ
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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