Organization
AZ CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE CAJOLET-ECKHARDT PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(262) 515-2445
Entity
Organization
Contact information
Practice address
3048 E BASELINE RD, SUITE 107, MESA, AZ 85204-7286
(323) 457-8543
(602) 293-3271
Mailing address
3048 E. BASELINE ROAD, SUITE 107, MESA, AZ 85204
(323) 457-8543
(602) 293-3271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43702600
—
WI
Enumeration date
12/04/2014
Last updated
12/04/2014
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