Donald M Nockleby, PHD Valid NPI
Individual provider · Clinical Neuropsychologist · Phoenix, AZ
- NPI
- 1629299367
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Neuropsychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103G00000X
- License number
- 1583 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-01
- Last updated
- 2012-04-23
Practice location
3625 N 16th St, Suite 104
Phoenix, AZ 85016-6443
(602) 271-6165