| Julie M Lesperance, Psy.d., Pllc | |
|
3013 N 67th Pl Ste 101 Scottsdale AZ 85251-6169 | |
| (480) 550-1776 | |
| Not Available |
| Full Name | Julie M Lesperance, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3013 N 67th Pl Ste 101, Scottsdale, Arizona |
| Authorized Official Name and Position | Julie Marie Lesperance (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4805501776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie M Lesperance, Psy.d., Pllc Po Box 3742 Scottsdale AZ 85271-3742 Ph: (480) 550-1776 | Julie M Lesperance, Psy.d., Pllc 3013 N 67th Pl Ste 101 Scottsdale AZ 85251-6169 Ph: (480) 550-1776 |
| NPI Number | 1073962148 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Medicare PECOS PAC ID | 1254622574 |
|---|---|
| Medicare Enrollment ID | O20220311001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073962148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4629 (Arizona) | Primary |
| Provider Name | Julie M Lesperance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942634589 PECOS PAC ID: 1951692284 Enrollment ID: I20220311001606 |
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