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MS. JODY MARIE ATTAWAY
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1588828529
Individual Registrant:MS. JODY MARIE ATTAWAY
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
215 N. CARLISLE AVE SOMERTON, AZ 85350-3200 US
Tel: 928-341-6040 Fax: 928-341-6099
Tel: 928-341-6040 Fax: 928-341-6099
Contact information for business:
1046 S APPALOOSA LN YUMA, AZ 85364-3362 US
Tel: 928-782-6315 Fax: 928-341-6099
Tel: 928-782-6315 Fax: 928-341-6099
Registration Information:
NPI: 1588828529
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School | AZ | 2362764 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
