| Amra Stafford, Psyd, Pllc | |
|
67 E Weldon Ave Suite 320 Phoenix AZ 85012-2040 | |
| (602) 456-7565 | |
| (602) 266-0234 |
| Full Name | Amra Stafford, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 67 E Weldon Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Amra Stafford (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6024567565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amra Stafford, Psyd, Pllc 67 E Weldon Ave Suite 320 Phoenix AZ 85012-2040 Ph: (602) 456-7565 | Amra Stafford, Psyd, Pllc 67 E Weldon Ave Suite 320 Phoenix AZ 85012-2040 Ph: (602) 456-7565 |
| NPI Number | 1003254871 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Medicare PECOS PAC ID | 5890937635 |
|---|---|
| Medicare Enrollment ID | O20130807000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003254871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4402 (Arizona) | Primary |
| Provider Name | Amra Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255564647 PECOS PAC ID: 6204078322 Enrollment ID: I20130820000131 |
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