| Cognitive Care Network, Pllc | |
|
3994 E Aquarius Pl Chandler AZ 85249-5896 | |
| (480) 703-5905 | |
| (480) 703-5905 |
| Full Name | Cognitive Care Network, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3994 E Aquarius Pl, Chandler, Arizona |
| Authorized Official Name and Position | Suzanne Jacobs (OWNER/CLINICIAN) |
| Authorized Official Contact | 4807035905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Network, Pllc 3994 E Aquarius Pl Chandler AZ 85249-5896 Ph: (480) 703-5905 | Cognitive Care Network, Pllc 3994 E Aquarius Pl Chandler AZ 85249-5896 Ph: (480) 703-5905 |
| NPI Number | 1619475704 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619475704 | NPI | - | NPPES |
| 1861608861 | Other | AZ | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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