Individual
MRS. BHAVNA AMAL MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.ED
Contact information
Practice address
5833 W THOMAS RD, PHOENIX, AZ 85031-3228
(623) 691-4100
Mailing address
911 E CAMELBACK RD, #1068, PHOENIX, AZ 85014-6111
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3924552
AZ
Other
Enumeration date
09/11/2007
Last updated
09/28/2007
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