Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3268 | AZ |
N | 103T00000X | Psychologist | 3268 | AZ |
Y | 103G00000X | Clinical Psychologist | 3268 | AZ |
Y | 103TC0700X | Clinical Psychologist | 3268 | AZ |
NPI | 1003010455 |
---|---|
Provider Name | Dr. Carolyn J Cavanaugh Toft |
First Address | Phoenix, AZ 85012-2634 |
Second Address | Phoenix, AZ 85012-2634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 19/03/2008 |