Organization
CENTER FOR NEURODEVELOPMENTAL STUDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYTHGOE (BUSINESS DIRECTOR)
(623) 915-0345
Entity
Organization
Contact information
Practice address
5430 W. GLENN DRIVE, GLENDALE, AZ 85301
(623) 915-0345
(623) 937-5425
Mailing address
5430 W. GLENN DRIVE, GLENDALE, AZ 85301
(623) 915-0345
(623) 937-5425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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