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Contact Information

JUSTIN S PHELPS, ED.D.
5 SAN CARLOS BLVD.
SAN CARLOS, AZ85550
 Phone: 928-475-4875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUSTIN S PHELPS · (Male)

NPI # 1619237377
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 05/29/2012
Last updated 05/10/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3658
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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