Individual
DR. KENNETH WAYNE LITTLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1 E APACHE ST, WICKENBURG, AZ 85390-2442
(928) 684-4359
Mailing address
16848 W BRIDLINGTON AVE, SURPRISE, AZ 85374-6865
(623) 546-7164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3529
AZ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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