RAYMOND W LEMBERG PHD PC
Social Work at Valley St, Prescott, AZ

License number
Arizona 658
Category
Psychologist
Type
Psychologist
License number
Arizona 0643
Category
Social Work
Type
Clinical
Owner
Name: DR. RAYMOND WALTER LEMBERG PHD
Title: PRESIDENT
Phone: (928) 776-7885
Address
Address
812 Valley St, Prescott, AZ 86305
National Provider ID: 1710162888
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAYMOND W. LEMBERG, PH.D., PC

812 Vly St, Prescott, AZ 86305

Registration:
Feb 2, 1983
State ID:
-0153551-3
Expiration:
PERPETUAL
President:
Raymond W Lemberg (President), 812 Vly St, Prescott, AZ 86305 (Physical)
Agent:
Gregory L Mast,2415 E Camelback Rd STE 728, Phoenix, AZ 85016 (Physical)
Business type:
HEALTH CARE

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