Autumn R Lord
NPI #1134862766 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1134862766
- Entity Type
- Individual
- Name
- Autumn R Lord
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 1668 E KELSI AVE
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-4085
- Phone
- (480) 616-5133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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