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Individual

LIA CLEMENTE ROLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
10000 N 31ST AVE, STE C-202, PHOENIX, AZ 85051-9582
(602) 997-6635
Mailing address
10000 N 31ST AVE, STE C-202, PHOENIX, AZ 85051-9582
(602) 997-6635

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4151
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4151
AZ
103TB0200X
Cognitive & Behavioral Psychologist
4151
AZ
103TC0700X
Clinical Psychologist
Primary
4151
AZ
103TF0200X
Forensic Psychologist
4151
AZ
103TH0004X
Health Psychologist
4151
AZ
103TR0400X
Rehabilitation Psychologist
4151
AZ

Other

Enumeration date
10/18/2010
Last updated
01/11/2012
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