MICHAEL REDIVO, PH.D.
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1790938157
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | 3433 (AZ) |
Frequently Asked Questions
NPI 1790938157 is the National Provider Identifier for MICHAEL REDIVO, PH.D., a Psychologist - Clinical Child & Adolescent provider located in Phoenix, AZ. This NPI was enumerated on October 29, 2008.
MICHAEL REDIVO, PH.D. practices at 4229 N 16TH ST, Phoenix, AZ 85016.
Quick Facts
- NPI
- 1790938157
- Type
- Individual
- Enumerated
- Oct 29, 2008
- Last Updated
- Oct 29, 2008
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