Individual
YISROEL LOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(602) 730-5307
Mailing address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(602) 730-5307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
04/20/2021
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