Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Neuropsychology Institute

Organization Clinical Neuropsychologist · NPI 1184317760

Arizona Neuropsychology Institute is a Clinical Neuropsychologist in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11225 N 28th Dr Ste B125
Phoenix, AZ 85029-5606
Phone: (480) 630-7747
Fax: (480) 630-7748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1184317760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Etling — Owner · (480) 630-7747
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address24654 N Lake Pleasant Pkwy Ste 103-466, Peoria, AZ 85383-1359

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