Individual
BEAT E BISENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13203 N 103RD AVE, SUITE H5, SUN CITY, AZ 85351-3028
(623) 875-6570
(623) 972-0049
Mailing address
PO BOX 53568, PHOENIX, AZ 85072-3568
(623) 544-5070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040394
—
AZ
Enumeration date
05/13/2006
Last updated
03/31/2010
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