Individual
DR. THOMAS BARNES VIRDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Mailing address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311757
—
AZ
Enumeration date
12/14/2007
Last updated
01/07/2009
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