Individual
KELLY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1405 E GUADALUPE RD, TEMPE, AZ 85283-3971
(480) 921-3314
Mailing address
1405 E. GUADALUPE RD., 2111 E. BASELINE RD. STE. A-2, TEMPE, AZ 85283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4889
ARIZONA BOARD OF PSYCHOLOGIST EXAMINERS
AZ
Enumeration date
05/08/2017
Last updated
03/11/2019
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