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8380 S Kyrene Rd Ste 103 Tempe AZ 85284-2120 | |
| (480) 965-6341 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8380 S Kyrene Rd Ste 103, Tempe, Arizona |
| Authorized Official Name and Position | Suzanne Tariot Sheard (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5857375293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8380 S Kyrene Rd Ste 103 Tempe AZ 85284-2120 Ph: (480) 269-3208 | 8380 S Kyrene Rd Ste 103 Tempe AZ 85284-2120 Ph: (480) 965-6341 |
| NPI Number | 1164138079 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164138079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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