| Pamela S Klonoff Phd Pllc | |
|
222 W Thomas Rd Suite 401 Phoenix AZ 85013-4419 | |
| (602) 406-3473 | |
| Not Available |
| Full Name | Pamela S Klonoff Phd Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 222 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Pamela S Klonoff (PRESIDENT) |
| Authorized Official Contact | 6024063473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela S Klonoff Phd Pllc Po Box 27340 Phoenix AZ 85061-7340 Ph: (602) 943-9200 | Pamela S Klonoff Phd Pllc 222 W Thomas Rd Suite 401 Phoenix AZ 85013-4419 Ph: (602) 406-3473 |
| NPI Number | 1336112093 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336112093 | NPI | - | NPPES |
| 731332 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1239 (Arizona) | Primary |
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