Growing Edges Llc

NPI 1073739660 - Psychologist - 103TC0700X

NPI Details
NPI 1073739660
Enumeration Date 04/18/2007
Last Updated 02/17/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ILYSSA ILYSSA
Position PRESIDENT
Phone (602) 548-1444
Fax (602) 548-1446
Practice Location
18205 N 51ST AVE BLDG 2
SUITE 115
GLENDALE AZ, 85308-1490, US
Phone (602) 548-1444
Fax (602) 548-1446
Business Location
18205 N 51ST AVE BLDG 2
SUITE 115
GLENDALE AZ, 85308-1490, US
Phone (602) 548-1444
Fax (602) 548-1446
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Growing Edges Llc NPI is 1073739660, taxonomy code is 103TC0700X Growing Edges Llc physically located at 18205 N 51st Ave Bldg 2, Glendale AZ, 85308-1490. NPI Number 1033115704 has the healthcare provider type.

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1073739660 NPI number is provided on an as is basis without warranty of any kind. 1073739660 is maintained by the National Plan & Provider Enumeration System. The contents of Growing Edges Llc are for informational purposes only.