| Marci Haines Psyd Llc | |
|
8966 W Yukon Dr Peoria AZ 85382-6448 | |
| (623) 680-6461 | |
| Not Available |
| Full Name | Marci Haines Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8966 W Yukon Dr, Peoria, Arizona |
| Authorized Official Name and Position | Marci Haines (OWNER) |
| Authorized Official Contact | 6236806461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marci Haines Psyd Llc 8966 W Yukon Dr Peoria AZ 85382-6448 Ph: (623) 680-6461 | Marci Haines Psyd Llc 8966 W Yukon Dr Peoria AZ 85382-6448 Ph: (623) 680-6461 |
| NPI Number | 1518606938 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 5597147827 |
|---|---|
| Medicare Enrollment ID | O20220803002928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518606938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marci Lynn Haines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992457402 PECOS PAC ID: 1557743887 Enrollment ID: I20220803003146 |
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