A Positive Outcome Neuropsychology Services PLLC
Clinical Neuropsychologist in Phoenix, AZ. Organization (NPI-2).
NPI number1336328806
StatusActive
Last updated in NPPESOct 31, 2007
Details
- NPI
- 1336328806
- Entity type
- Organization (NPI-2)
- Legal business name
- A Positive Outcome Neuropsychology Services PLLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2007
- Last updated
- Oct 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 3573 | AZ | Yes |
| 103TC0700X | Psychologist, Clinical | 3573 | AZ |
Practice location
7227 N 16th StSuite 222
Phoenix, AZ 85020-5251
Phone 623-512-8021 · Fax 623-825-6784
Mailing address
7227 N 16th StSuite 222
Phoenix, AZ 85020-5251
Phone 623-512-8021 · Fax 623-825-6784
Authorized official
Tracy Lynn Thomas
Clinical Neuropsychologist
6235128021
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