Organization
PSYCHOLOGICAL & CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NEIL SHRADER PH.D, (PSYCHOLOGIST)
(602) 402-9042
Entity
Organization
Contact information
Practice address
414 S MILL AVE, SUITE 210, TEMPE, AZ 85281-2845
(602) 402-9042
(480) 829-9237
Mailing address
414 S MILL AVE, SUITE 210, TEMPE, AZ 85281-2845
(602) 402-9042
(480) 829-9237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3029
AZ
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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