ANDREA WADDELL-PRATT, PHD, PC
Agencies at 6 Ave, Phoenix, AZ

License number
Arizona 3384
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. ANDREA S WADDELL-PRATT PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (602) 462-1115
Address
Address
810 N 6Th Ave, Phoenix, AZ 85003
National Provider ID: 1629277124
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANDREA WADDELL-PRATT, PH.D., PC

810 N 6 Ave, Phoenix, AZ 85003

Status:
Inactive
Industry:
Psychiatric Clinics
Inactive reason:
Ad-dissolved-file annual report
Registration:
May 25, 2007
Inactive since:
Nov 2, 2011
State ID:
-1369381-7
Expiration:
PERPETUAL
Clinical Psychologist , Phd , Presidents:
Andrea Waddell-Pratt (President, Clinical Psychologist, Phd), 810 N 6 Ave, Phoenix, AZ 85003 (Physical),Andrea W. Pratt (Clinical Psychologist , Phd , President)
Agent:
Marcel Pratt,PO Box 10235, Glendale, AZ 85318 (Physical)
6757 W Behrend Dr, Glendale, AZ 85308 (Physical)

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