Mountain Waves Healing Arts, Inc.

NPI #1003932898 in Flagstaff, Arizona

Provider Information

NPI Number: 1003932898
Entity Type: Organization
Organization Name: Mountain Waves Healing Arts, Inc.
Primary Specialty: Psychologist
Enumeration Date: Mar 22, 2007
Last Updated: Nov 11, 2009

Practice Location

Address: 2323 E GREENLAW LN
Address 2: SUITE 10
City: Flagstaff
State: Arizona
ZIP Code: 86004-1810
Phone: (928) 526-5171

Authorized Official

Name: DR. ROXANNE R WITTE, PH.D.
Title: LICENSED PSYCHOLOGIST
Phone: (928) 526-1961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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