| Integrative Psychotherapy And Assessment Services | |
|
11024 N 28th Dr Suite 200 Phoenix AZ 85029-4377 | |
| (602) 526-8315 | |
| Not Available |
| Full Name | Integrative Psychotherapy And Assessment Services |
|---|---|
| Speciality | Psychologist |
| Location | 11024 N 28th Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Dawn Marie Byrd (PSYCHOLOGIST) |
| Authorized Official Contact | 6025268315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychotherapy And Assessment Services 11024 N 28th Dr Suite 200 Phoenix AZ 85029-4377 Ph: (602) 526-8315 | Integrative Psychotherapy And Assessment Services 11024 N 28th Dr Suite 200 Phoenix AZ 85029-4377 Ph: (602) 526-8315 |
| NPI Number | 1699146910 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 02/16/2016 |
| Medicare PECOS PAC ID | 4880990464 |
|---|---|
| Medicare Enrollment ID | O20160308001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699146910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Dawn Marie Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982902847 PECOS PAC ID: 5799081378 Enrollment ID: I20160308001237 |
| Provider Name | Jennifer I Billiard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750837050 PECOS PAC ID: 4385922541 Enrollment ID: I20161024001508 |
| Provider Name | Shannon Kris Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225510688 PECOS PAC ID: 0648691881 Enrollment ID: I20200526002977 |
| Provider Name | Steven Stiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750562971 PECOS PAC ID: 0143381681 Enrollment ID: I20220412000343 |
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