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Contact Information

THE LEGACY INSTITUTE
8190 W DEER VALLEY RD
#297
PEORIA, AZ85382-2126
 Phone: 623-398-4814
 Fax: 623-234-3751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE LEGACY INSTITUTE · (Female)

NPI # 1962771329
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2011
Last updated 12/20/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 3984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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