| Dreaming Creek Llc | |
|
1610 W Glendale Ave Phoenix AZ 85021-8948 | |
| (602) 309-0403 | |
| Not Available |
| Full Name | Dreaming Creek Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1610 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Catherine C. Lindstrom (MANAGING MEMBER) |
| Authorized Official Contact | 6023090403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dreaming Creek Llc 15390 W Pinchot Ct Goodyear AZ 85395-8897 Ph: (602) 309-0403 | Dreaming Creek Llc 1610 W Glendale Ave Phoenix AZ 85021-8948 Ph: (602) 309-0403 |
| NPI Number | 1720372592 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720372592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1748 (Arizona) | Primary |
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