Redivo, Michael Joseph

Redivo, Michael Joseph is an individual health care provider with primary practice located at 4229 N 16Th St , Phoenix AZ 85016-5318. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Redivo, Michael Joseph can be contacted via phone (602) 277-4482.

Contact Information

Primary practice address
4229 N 16Th St Phoenix AZ 85016-5318
Phone: (602) 277-4482
Fax: (602) 277-4483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3433 Arizona

Profile Details

NPI number 1790938157
LBN Legal business name Redivo, Michael Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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