| Desert Rain Psychological Services Llc | |
|
4250 E Kilmer St Tucson AZ 85711-2826 | |
| (520) 349-2219 | |
| Not Available |
| Full Name | Desert Rain Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4250 E Kilmer St, Tucson, Arizona |
| Authorized Official Name and Position | Kathleen Young (OWNER) |
| Authorized Official Contact | 5202610265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Rain Psychological Services Llc 3849 E Broadway Blvd # 127 Tucson AZ 85716-5407 Ph: (520) 349-2219 | Desert Rain Psychological Services Llc 4250 E Kilmer St Tucson AZ 85711-2826 Ph: (520) 349-2219 |
| NPI Number | 1174212302 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 2567822737 |
|---|---|
| Medicare Enrollment ID | O20231108002715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174212302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366545691 PECOS PAC ID: 0446241277 Enrollment ID: I20231201000271 |
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