Diagnostic & Intervention Services Pc | |
2120 S Rural Rd Suite 2 Tempe AZ 85282-1400 | |
(602) 576-5000 | |
(602) 707-7571 |
Full Name | Diagnostic & Intervention Services Pc |
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Speciality | Psychologist |
Location | 2120 S Rural Rd, Tempe, Arizona |
Authorized Official Name and Position | Gregory Novie (PRESIDENT) |
Authorized Official Contact | 6025765000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diagnostic & Intervention Services Pc Po Box 23869 Tempe AZ 85285-3869 Ph: (602) 576-5000 | Diagnostic & Intervention Services Pc 2120 S Rural Rd Suite 2 Tempe AZ 85282-1400 Ph: (602) 576-5000 |
NPI Number | 1295008860 |
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Provider Enumeration Date | 02/13/2012 |
Last Update Date | 02/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295008860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1207 (Arizona) | Primary |
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