NPI 1053517672

Linda Beth Gomez

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Phoenix, AZ

Practice location

Address: 15415 N 45th St, Phoenix, AZ 85032-4242
Phone: (602) 299-5965

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1053517672
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2007
Record last updated: 8 Jul 2007

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.