| Bill Retts Phd Pc | |
|
11024 N 28th Dr Ste 290 Phoenix AZ 85029-4373 | |
| (602) 870-7710 | |
| (602) 734-0692 |
| Full Name | Bill Retts Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 11024 N 28th Dr Ste 290, Phoenix, Arizona |
| Authorized Official Name and Position | William L Retts (PRESIDENT) |
| Authorized Official Contact | 6029971075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Retts Phd Pc 801 W Butler Dr Phoenix AZ 85021-4454 Ph: (602) 997-1075 | Bill Retts Phd Pc 11024 N 28th Dr Ste 290 Phoenix AZ 85029-4373 Ph: (602) 870-7710 |
| NPI Number | 1710167663 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Medicare PECOS PAC ID | 1456672765 |
|---|---|
| Medicare Enrollment ID | O20150611000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710167663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William L Retts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790730117 PECOS PAC ID: 8729006952 Enrollment ID: I20051107000581 |
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