| Ahwatukee Psychology Llc | |
|
11011 S 48th St Ste 101 Phoenix AZ 85044-1787 | |
| (480) 223-8263 | |
| (480) 247-5705 |
| Full Name | Ahwatukee Psychology Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11011 S 48th St Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Mysti Rainwater (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4802238263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahwatukee Psychology Llc 11011 S 48th St Ste 101 Phoenix AZ 85044-1787 Ph: (480) 223-8263 | Ahwatukee Psychology Llc 11011 S 48th St Ste 101 Phoenix AZ 85044-1787 Ph: (480) 223-8263 |
| NPI Number | 1326608290 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326608290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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