Celice Korsten
Psychologist, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1235626565
StatusActive
Last updated in NPPESApr 23, 2018
Details
- NPI
- 1235626565
- Entity type
- Individual (NPI-1)
- Name
- Celice Korsten
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2018
- Last updated
- Apr 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4208 | AZ | Yes |
| 103TF0200X | Psychologist, Forensic | 4208 | AZ |
Practice location
11020 N. Tatum Blvd., Ste. 100Phoenix, AZ 85028
Phone 480-678-4193
Mailing address
11020 N. Tatum Blvd. Ste. 100Phoenix, AZ 85028
Phone 480-678-4193
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