Organization · Type 2 NPI

Wisteria Mental Health & Wellness Center PLLC

Child & Adolescent Psychiatry Physician · Phoenix, AZ

NPI number 1194413419 Active

Practice location

301 W Echo Ln
Phoenix, AZ 85021-5554

Call (480) 399-8455 Map

Fax (866) 845-1832

Mailing address

14802 N 18th Pl
Phoenix, AZ 85022-3925

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1194413419

Wisteria Mental Health & Wellness Center PLLC's National Provider Identifier is 1194413419, issued on Apr 25, 2023. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 14, 2025.