DR. Sean Southland, PHD, MDAST, CBIS

NPI #1417472184 in Tempe, Arizona

Provider Information

NPI Number: 1417472184
Entity Type: Individual
Name: DR. Sean Southland, PHD, MDAST, CBIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other - EEG
Credential: PHD, MDAST, CBIS
Enumeration Date: Aug 3, 2017
Last Updated: Jun 11, 2019

Practice Location

Address: 1155 W RIO SALADO PKWY STE 101
City: Tempe
State: Arizona
ZIP Code: 85281-2826
Phone: (480) 696-5796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other - EEG — EEG	2472E0500X	Primary

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