| Desert Peaks Neuropsychology, Llc | |
|
15650 N Black Canyon Hwy Ste B140 Phoenix AZ 85053-4064 | |
| (480) 604-4090 | |
| Not Available |
| Full Name | Desert Peaks Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 15650 N Black Canyon Hwy Ste B140, Phoenix, Arizona |
| Authorized Official Name and Position | Sarah Norbeck (OWNER) |
| Authorized Official Contact | 4806044090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Peaks Neuropsychology, Llc Po Box 34298 Belfast ME 04915-0620 Ph: () - | Desert Peaks Neuropsychology, Llc 15650 N Black Canyon Hwy Ste B140 Phoenix AZ 85053-4064 Ph: (480) 604-4090 |
| NPI Number | 1396457503 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 7214308840 |
|---|---|
| Medicare Enrollment ID | O20230118002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396457503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Sarah Norbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821600727 PECOS PAC ID: 2163842535 Enrollment ID: I20201023002020 |
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