Anxiety Disorders And Medical Psychology Treatment Center, P.c. | |
617 N Humphreys St Suite 101 Flagstaff AZ 86001-3063 | |
(928) 779-3783 | |
(928) 773-1150 |
Full Name | Anxiety Disorders And Medical Psychology Treatment Center, P.c. |
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Speciality | Psychologist - Clinical |
Location | 617 N Humphreys St, Flagstaff, Arizona |
Authorized Official Name and Position | Sumner Jay Sydeman (AZ LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9287793783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anxiety Disorders And Medical Psychology Treatment Center, P.c. 617 N Humphreys St Suite 101 Flagstaff AZ 86001-3063 Ph: (928) 779-3783 | Anxiety Disorders And Medical Psychology Treatment Center, P.c. 617 N Humphreys St Suite 101 Flagstaff AZ 86001-3063 Ph: (928) 779-3783 |
NPI Number | 1518141985 |
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Provider Enumeration Date | 12/20/2007 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518141985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3538 (Arizona) | Primary |
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