| Emily Mariner Pllc | |
|
4611 E Glenrosa Ave Phoenix AZ 85018-4323 | |
| (330) 719-2533 | |
| Not Available |
| Full Name | Emily Mariner Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4611 E Glenrosa Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Emily Mariner (LICENSED BEHAVIOR ANALYST) |
| Authorized Official Contact | 3307192533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Mariner Pllc 4611 E Glenrosa Ave Phoenix AZ 85018-4323 Ph: (330) 719-2533 | Emily Mariner Pllc 4611 E Glenrosa Ave Phoenix AZ 85018-4323 Ph: (330) 719-2533 |
| NPI Number | 1184481178 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184481178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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