| Cognitive Assessment Center Llc | |
|
64 E Broadway Rd Ste 200 Tempe AZ 85282-1377 | |
| (480) 566-2342 | |
| Not Available |
| Full Name | Cognitive Assessment Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 64 E Broadway Rd Ste 200, Tempe, Arizona |
| Authorized Official Name and Position | Brenda Aranda (OWNER) |
| Authorized Official Contact | 4805662342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Assessment Center Llc 5419 S Canyon Rim Mesa AZ 85212-9112 Ph: (973) 220-6906 | Cognitive Assessment Center Llc 64 E Broadway Rd Ste 200 Tempe AZ 85282-1377 Ph: (480) 566-2342 |
| NPI Number | 1801663729 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801663729 | NPI | - | NPPES |
| 1518199389 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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