NPI 1194312603
Beyond the Pines
Practice location
- Address
- 4085 S Holland Rd, Flagstaff, AZ 86005-8924
- Phone
- (928) 221-8212
- Mailing address
- 606 N Beaver St, Flagstaff, AZ 86001-3012
Authorised official
- Name
- Daniel Phillips
- Title
- Psychologist, Managing Partner
- Phone
- (928) 221-8212
Registered specialties (2)
Counseling Psychologist
Primary
Mental Health Counselor
Registry record
- NPI
- 1194312603
- Entity type
- Organization
- NPI issued
- 30 Dec 2020
- Record last updated
- 8 Feb 2021
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.