Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | AZ |
NPI | 1083769400 |
---|---|
Provider Name | Dr. Judy Ann Cluff |
First Address | Mesa, AZ 85201-4827 |
Second Address | Scottsdale, AZ 85257-4610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 26/07/2007 |