Organization
DANIEL B WASSERMAN PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B WASSERMAN PHD (PRESIDENT & PSYCHOLOGIST)
(928) 778-6259
Entity
Organization
Contact information
Practice address
339 S CORTEZ ST, PRESCOTT, AZ 86303-4315
(928) 778-6259
Mailing address
339 S CORTEZ ST, PRESCOTT, AZ 86303-4315
(928) 778-6259
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1170
AZ
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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