Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | AZ |
NPI | 1033490479 |
---|---|
Provider Name | Dr. Kari Lynn Neubauer Potthoff |
First Address | San Tan Valley, AZ 85140-4195 |
Second Address | San Tan Valley, AZ 85140-4195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 30/08/2011 |