| Az Psychiatry And Counseling, Inc | |
|
1050 E Southern Ave Tempe AZ 85282-5403 | |
| (480) 966-1485 | |
| (480) 968-5020 |
| Full Name | Az Psychiatry And Counseling, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1050 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Carole Kelley (PRESIDENT) |
| Authorized Official Contact | 4809661485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Psychiatry And Counseling, Inc Po Box 23687 Tempe AZ 85285-3687 Ph: () - | Az Psychiatry And Counseling, Inc 1050 E Southern Ave Tempe AZ 85282-5403 Ph: (480) 966-1485 |
| NPI Number | 1922354414 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 0446402622 |
|---|---|
| Medicare Enrollment ID | O20121217000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922354414 | NPI | - | NPPES |
| 1568674638 | Other | AZ | NPI # FOR DR. SIDHU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 23778 (Arizona) | Primary |
| Provider Name | Lincoln C Bickford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154506962 PECOS PAC ID: 1658525605 Enrollment ID: I20130923000414 |
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