Individual provider · Type 1 NPI

Maurie S. Comenzo, PhD, LPC, ABCAC

Adolescent and Children Mental Health Clinic/Center · Phoenix, AZ

NPI number 1356712772 Active

Practice location

11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center
Phoenix, AZ 85020

Fax (602) 393-3082

Mailing address

3039 W. Peoria Ave., Suite #C-102-164
Phoenix, AZ 85029

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1356712772

Maurie S. Comenzo, PhD, LPC, ABCAC's National Provider Identifier is 1356712772, issued on Oct 12, 2015. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 12, 2015.