Individual
CASEY IWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1705 E HANNA RD, ELOY, AZ 85131-9612
(602) 882-1810
Mailing address
3412 W ANSELL RD, LAVEEN, AZ 85339-1764
(602) 237-2157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4691
AZ
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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