MEDICARE: DR. ROBERT ALAN DARDEN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3647	AZ

General Provider Information

NPI Number	:	1508070699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN DARDEN PH.D.

Provider Business Mailing Address
First Line	:	11865 N 143RD AVE
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-4395
Country	:	US
Telephone Number	:	623-810-6792
Fax Number	:

Provider Business Practice Location Address
First Line	:	7075 W BELL RD
Second Line	:	SUITE 3
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8546
Country	:	US
Telephone Number	:	623-810-6792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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