Charles Carlise Edd Psychologist
Public Health or Welfare in Phoenix, AZ. Organization (NPI-2).
NPI number1497948707
StatusActive
Last updated in NPPESAug 20, 2007
Details
- NPI
- 1497948707
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles Carlise Edd Psychologist
- Organization subpart
- No
- Enumeration date
- Aug 20, 2007
- Last updated
- Aug 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | 3229 | AZ | Yes |
Practice location
2345 E Thomas RdSuite 295
Phoenix, AZ 85016-7848
Phone 602-622-2933 · Fax 602-957-3063
Mailing address
2345 E Thomas RdSuite 295
Phoenix, AZ 85016-7848
Phone 602-622-2933 · Fax 602-957-3063
Authorized official
Charles Gasper Carlise
Psychologist
6026222933
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