Organization
LATEEF MENTAL WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYAM H LATEEF MHNP (PRESIDENT)
(602) 403-5050
Entity
Organization
Contact information
Practice address
7219 S 15TH DR, PHOENIX, AZ 85041-6930
(602) 406-5050
(623) 847-4047
Mailing address
PO BOX 26249, PHOENIX, AZ 85068-6249
(602) 403-5050
(623) 847-4047
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
AP1782
AZ
Other
Enumeration date
04/09/2011
Last updated
10/02/2015
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