Colin Joseph Psychologist Phd PLLC
Clinic/Center, Adult Mental Health in Prescott, AZ. Organization (NPI-2).
NPI number1851969117
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1851969117
- Entity type
- Organization (NPI-2)
- Legal business name
- Colin Joseph Psychologist Phd PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
1666 W Pine Cone WayPrescott, AZ 86303-6123
Phone 928-499-8405 · Fax 928-227-2574
Mailing address
1666 W Pine Cone WayPrescott, AZ 86303-6123
Phone 928-499-8405
Authorized official
Lisa Lou Shannon-Joseph
Office Manager
9284998405
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