Az Child And Family Psychological Services, Pllc. | |
3048 E Baseline Rd Suite 107 Mesa AZ 85204-7286 | |
(323) 457-8543 | |
(602) 293-3271 |
Full Name | Az Child And Family Psychological Services, Pllc. |
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Speciality | Community/behavioral Health |
Location | 3048 E Baseline Rd, Mesa, Arizona |
Authorized Official Name and Position | Julie Cajolet-eckhardt (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2625152445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Az Child And Family Psychological Services, Pllc. 3048 E. Baseline Road Suite 107 Mesa AZ 85204 Ph: (323) 457-8543 | Az Child And Family Psychological Services, Pllc. 3048 E Baseline Rd Suite 107 Mesa AZ 85204-7286 Ph: (323) 457-8543 |
NPI Number | 1831596915 |
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Provider Enumeration Date | 12/04/2014 |
Last Update Date | 12/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831596915 | NPI | - | NPPES |
43702600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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