Healthcare Provider Details
I. General information
NPI: 1952717001
Provider Name (Legal Business Name): AUDREY SESSIONS-SPEZZACATENA PSY.D., ABPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/09/2014
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7219 N LITCHFIELD RD
GLENDALE AZ
85309-1529
US
IV. Provider business mailing address
7219 N LITCHFIELD RD
GLENDALE AZ
85309-1529
US
V. Phone/Fax
- Phone: 623-856-2273
- Fax:
- Phone: 623-856-2273
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 4802 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: