Individual
ELISA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
5480 W CAMPBELL AVE, PHOENIX, AZ 85031-1115
(623) 691-5119
Mailing address
222 W CLARENDON AVE, APARTMENT 219, PHOENIX, AZ 85013-3480
(602) 828-0544
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118373
—
AZ
Enumeration date
03/12/2007
Last updated
07/09/2007
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