NPI 1184071086

Smart Brain Aging INC

Organisation Clinical Neuropsychologist Phoenix, AZ

Practice location

Address: 7878 N 16th St Suite 250, Phoenix, AZ 85020-4449
Phone: (602) 395-0715
Fax: (602) 277-8146
Mailing address: 275 N Gateway Dr Suite 100, Phoenix, AZ 85034-1700

Authorised official

Name: John M Denboer
Title: President
Phone: (480) 861-0020

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 4026 (AZ)

Other Clinical Neuropsychologist providers in Arizona →

Registry record

NPI: 1184071086
Entity type: Organization
NPI issued: 20 May 2016
Record last updated: 20 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.