| Kidscope Llc | |
|
13055 W Mcdowell Rd Suite G-112 Avondale AZ 85392-6449 | |
| (602) 792-5021 | |
| (602) 792-5262 |
| Full Name | Kidscope Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13055 W Mcdowell Rd, Avondale, Arizona |
| Authorized Official Name and Position | Pamela S Davis (CEO/MANAGING MEMBER) |
| Authorized Official Contact | 6026149197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidscope Llc 13055 W Mcdowell Rd Suite G-112 Avondale AZ 85392-6449 Ph: (623) 792-5021 | Kidscope Llc 13055 W Mcdowell Rd Suite G-112 Avondale AZ 85392-6449 Ph: (602) 792-5021 |
| NPI Number | 1730432188 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730432188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Arizona) | Primary |
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