Jason R. Newell, Ph.d. | |
11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 | |
(602) 478-0576 | |
Not Available |
Full Name | Jason R. Newell, Ph.d. |
---|---|
Speciality | Psychologist - Clinical |
Location | 11110 N Tatum Blvd Ste 103, Phoenix, Arizona |
Authorized Official Name and Position | Jason Robert Newell (OWNER) |
Authorized Official Contact | 6024780576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jason R. Newell, Ph.d. 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: (602) 478-0576 | Jason R. Newell, Ph.d. 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: (602) 478-0576 |
NPI Number | 1013447127 |
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Provider Enumeration Date | 06/13/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013447127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3329 (Arizona) | Primary |
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