Individual
MS. CECILIA KIM HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 842-8240
Mailing address
17440 N TATUM BLVD, APT 209, PHOENIX, AZ 85032-9346
(623) 842-8240
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814097
—
AZ
Enumeration date
02/13/2007
Last updated
07/26/2007
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