Doctor Name: | ELAINE CARDER |
NPI Number: | 1003936261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3656907 |
Business Practice Address: | 6330 W Thunderbird Rd Glendale, AZ - 853064002 |
Business Phone Number: | 6234866000 |
Business Fax Number: | |
Mailing Address: | 8203 W Oraibi Dr, Apt. 2122 PEORIA |
State: | AZ |
Postal Code: | 853824680 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 3656907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |