| Van Doren Neuropsychology | |
|
10613 N Hayden Rd Ste J108 Scottsdale AZ 85260-5576 | |
| (480) 699-6968 | |
| (480) 666-4803 |
| Full Name | Van Doren Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10613 N Hayden Rd Ste J108, Scottsdale, Arizona |
| Authorized Official Name and Position | Ann Van Doren (OFFICE MANAGER) |
| Authorized Official Contact | 4806996968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Doren Neuropsychology 10613 N Hayden Rd Ste J108 Scottsdale AZ 85260-5576 Ph: (480) 699-6968 | Van Doren Neuropsychology 10613 N Hayden Rd Ste J108 Scottsdale AZ 85260-5576 Ph: (480) 699-6968 |
| NPI Number | 1124211826 |
|---|---|
| Provider Enumeration Date | 08/26/2007 |
| Last Update Date | 04/24/2021 |
| Certification Date | 04/24/2021 |
| Medicare PECOS PAC ID | 4183981913 |
|---|---|
| Medicare Enrollment ID | O20171201002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124211826 | NPI | - | NPPES |
| 1114072220 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2081 (Arizona) | Primary |
| Provider Name | Jon Jay Van Doren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114072220 PECOS PAC ID: 0042208910 Enrollment ID: I20040501000188 |
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