Joan Polansky | |
5090 N 40th St Suite 190a Phoenix AZ 85018-2111 | |
(602) 621-0468 | |
(602) 954-5245 |
Full Name | Joan Polansky |
---|---|
Speciality | Psychologist |
Location | 5090 N 40th St, Phoenix, Arizona |
Authorized Official Name and Position | Joan Marie Polansky (PSYCHOLOGIST) |
Authorized Official Contact | 6026210468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joan Polansky 5090 N 40th St Suite 190a Phoenix AZ 85018-2111 Ph: (602) 621-0468 | Joan Polansky 5090 N 40th St Suite 190a Phoenix AZ 85018-2111 Ph: (602) 621-0468 |
NPI Number | 1225411432 |
---|---|
Provider Enumeration Date | 07/07/2015 |
Last Update Date | 07/12/2015 |
Medicare PECOS PAC ID | 2163735713 |
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Medicare Enrollment ID | O20150724012187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225411432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3399 (Arizona) | Primary |
Provider Name | Joan M Polansky |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699790030 PECOS PAC ID: 4385650894 Enrollment ID: I20090209000189 |
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