| Anthony Bratko | |
|
1117 W 9th St Tempe AZ 85281-5304 | |
| (602) 402-4474 | |
| Not Available |
| Full Name | Anthony Bratko |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1117 W 9th St, Tempe, Arizona |
| Authorized Official Name and Position | Anthony John Bratko (THERAPIST) |
| Authorized Official Contact | 6024024474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Bratko 1117 W 9th St Tempe AZ 85281-5304 Ph: (602) 402-4474 | Anthony Bratko 1117 W 9th St Tempe AZ 85281-5304 Ph: (602) 402-4474 |
| NPI Number | 1811386394 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811386394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LPC-14567 (Arizona) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | LISAC-11892 (Arizona) | Secondary |
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