Organization · Type 2 NPI

Charles Carlise Edd Psychologist

Public Health or Welfare Agency · Phoenix, AZ

NPI number 1497948707 Active

Practice location

2345 E Thomas Rd, Suite 295
Phoenix, AZ 85016-7848

Fax (602) 957-3063

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000X3229 (AZ)

Public Health or Welfare Agency: Definition to come...

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About NPI 1497948707

Charles Carlise Edd Psychologist's National Provider Identifier is 1497948707, issued on Aug 20, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 20, 2007.