| Center For Lifestyle Change | |
|
4222 E Camelback Rd Suite H230 Phoenix AZ 85018-2745 | |
| (602) 852-0911 | |
| (602) 852-0632 |
| Full Name | Center For Lifestyle Change |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 4222 E Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Phillip D Lett (ADMINISTRATOR) |
| Authorized Official Contact | 6028520911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Lifestyle Change 4222 E Camelback Rd Suite H230 Phoenix AZ 85018-2745 Ph: (602) 852-0911 | Center For Lifestyle Change 4222 E Camelback Rd Suite H230 Phoenix AZ 85018-2745 Ph: (602) 852-0911 |
| NPI Number | 1821003419 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821003419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | BH934 (Arizona) | Primary |
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