Provider Demographics
NPI:1003991092
Name:DELANEY, MARY KATHERINE (PSYCHOLOGIST PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHERINE
Last Name:DELANEY
Suffix:
Gender:M
Credentials:PSYCHOLOGIST PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11616 E BLUE WASH RD
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2896
Mailing Address - Country:US
Mailing Address - Phone:480-839-0553
Mailing Address - Fax:480-820-5320
Practice Address - Street 1:11616 E BLUE WASH RD
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2896
Practice Address - Country:US
Practice Address - Phone:480-839-0553
Practice Address - Fax:480-820-5320
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3615103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist