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Search › Arizona › 235Z00000X

Therese Church-Nystrom

NPI 1710422340 · on the registry since 2017

Practice

Address
4545 N 36th St Ste 125a
Phoenix, AZ 85018
Phone
(602) 224-0202
Fax
(602) 224-0010
Organisation at this address
Maverick Medical Plc
Mindscape Wellness Llc
Arizona Institute For Communication & Cognitive Disorders Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Additional practice sites

  • 6991 E Camelback Rd, Scottsdale, AZ

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona