Organization
PROFESSIONAL PSYCHOLOGY ASSOCIATES PC
Active
Other names
Center for Lifestyle Change
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP D LETT PHD (ADMINISTRATOR)
(602) 852-0911
Entity
Organization
Contact information
Practice address
4222 E CAMELBACK RD, SUITE H230, PHOENIX, AZ 85018-2745
(602) 852-0911
(602) 852-0632
Mailing address
4222 E CAMELBACK RD, SUITE H230, PHOENIX, AZ 85018-2745
(602) 852-0911
(602) 852-0632
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
BH934
AZ
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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