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General NPI Number Information
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NPI Number | 1336349513
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Entity Type | Organization
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Legal Business Name | GERALD S. MAYER, PH.D., P.C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 7227 N 16TH ST SUITE 222
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City | PHOENIX
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State | AZ
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Zip | 85020-5251
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Country | US
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Telephone | 602-943-0040
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Fax | 602-043-8049
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Provider Business Mailing Address
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Address Line | 7227 N 16TH ST SUITE 222
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City | PHOENIX
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State | AZ
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Zip | 85020-5251
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Country | US
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Telephone | 602-943-0040
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Fax | 602-043-8049
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. GERALD STANLEY MAYER
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Credential | PH.D.
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Telephone | 602-943-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1204
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License Number State | AZ
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