Provider Type: | Behavioral Health & Social Service Providers |
Provider Classification: | Clinical Neuropsychologist |
Definition of Specialization: | |
Address: |
141 S Mccormick St Suite 109 Prescott, AZ 86303-4729 |
Phone: | (928) 777-2477 |
Fax: | (602) 274-7402 |
Authorized Official: | Dr. Blackwood, Harold Daniel, PHD |
Authorized Official Position: | Presicent |
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