Individual
DR. LARRY EARL DUMKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6625 S RURAL RD STE 111, TEMPE, AZ 85283-3717
(480) 241-4910
Mailing address
3872 W RENE DR, CHANDLER, AZ 85226-2276
(480) 241-4910
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-0153
AZ
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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