| Focus Neuropsychology Az, Pllc | |
|
2400 N Central Ave Ste 204 Phoenix AZ 85004-1341 | |
| (623) 295-9119 | |
| (888) 819-1123 |
| Full Name | Focus Neuropsychology Az, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2400 N Central Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Susan Marie Rumble (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6232959119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Focus Neuropsychology Az, Pllc 530 E Mcdowell Rd Ste 107-427 Phoenix AZ 85004-1549 Ph: () - | Focus Neuropsychology Az, Pllc 2400 N Central Ave Ste 204 Phoenix AZ 85004-1341 Ph: (623) 295-9119 |
| NPI Number | 1750862264 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 8123444940 |
|---|---|
| Medicare Enrollment ID | O20200811002671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750862264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 4108 (Arizona) | Primary |
| Provider Name | Susan M Rumble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124339742 PECOS PAC ID: 8123144359 Enrollment ID: I20100924001253 |
| Provider Name | Ramaswamy Kavitha Perumparaichallai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851689376 PECOS PAC ID: 5395910806 Enrollment ID: I20111212000924 |
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