Organization
SONORAN NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA POWELL PSYD (PRESIDENT)
(541) 905-4763
Entity
Organization
Contact information
Practice address
14300 N NORTHSIGHT BLVD STE 215, SCOTTSDALE, AZ 85260-3677
(541) 905-4763
Mailing address
8924 E PINNACLE PEAK RD STE G5-405, SCOTTSDALE, AZ 85255-3618
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
06/13/2022
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