| Lateef Mental Wellness Inc | |
|
7219 S 15th Dr Phoenix AZ 85041-6930 | |
| (602) 406-5050 | |
| (623) 847-4047 |
| Full Name | Lateef Mental Wellness Inc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 7219 S 15th Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Maryam H Lateef (PRESIDENT) |
| Authorized Official Contact | 6024035050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lateef Mental Wellness Inc Po Box 26249 Phoenix AZ 85068-6249 Ph: (602) 403-5050 | Lateef Mental Wellness Inc 7219 S 15th Dr Phoenix AZ 85041-6930 Ph: (602) 406-5050 |
| NPI Number | 1811287097 |
|---|---|
| Provider Enumeration Date | 04/09/2011 |
| Last Update Date | 10/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811287097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | AP1782 (Arizona) | Primary |
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