| Daniel B Wasserman Phd Pc | |
|
339 S Cortez St Prescott AZ 86303-4315 | |
| (928) 778-6259 | |
| Not Available |
| Full Name | Daniel B Wasserman Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 339 S Cortez St, Prescott, Arizona |
| Authorized Official Name and Position | Daniel B Wasserman (PRESIDENT & PSYCHOLOGIST) |
| Authorized Official Contact | 9287786259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel B Wasserman Phd Pc 339 S Cortez St Prescott AZ 86303-4315 Ph: (928) 778-6259 | Daniel B Wasserman Phd Pc 339 S Cortez St Prescott AZ 86303-4315 Ph: (928) 778-6259 |
| NPI Number | 1902084775 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/04/2008 |
| Medicare PECOS PAC ID | 6305920281 |
|---|---|
| Medicare Enrollment ID | O20080303000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902084775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1170 (Arizona) | Primary |
| Provider Name | Daniel B Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023237310 PECOS PAC ID: 3870528714 Enrollment ID: I20050929000597 |
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