NPI 1033588181

Clay Snell

Practitioner Child Mental Illness Respite Care Goodyear, AZ

Practice location

Address: 17533 W Rock Ledge Rd, Goodyear, AZ 85338-5723
Phone: (623) 850-9242

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 6527993 (AZ)

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Registry record

NPI: 1033588181
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2015
Record last updated: 18 Sep 2015

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.