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Individual

PAMELA WILLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8035 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(602) 256-9599
(480) 585-6109
Mailing address
PO BOX 6605, SCOTTSDALE, AZ 85261-6605
(602) 256-9599
(480) 585-6109

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1058
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73151402
AHCCCS
AZ
Enumeration date
10/11/2005
Last updated
10/25/2011
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