| Mary Ann B. Thirakul, Pllc | |
|
2266 S. Dobson Rd. Suite 200 Mesa AZ 85202 | |
| (480) 775-5154 | |
| (480) 744-2726 |
| Full Name | Mary Ann B. Thirakul, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2266 S. Dobson Rd., Mesa, Arizona |
| Authorized Official Name and Position | Mary Ann Beltran Thirakul (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4807755154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann B. Thirakul, Pllc 2266 S. Dobson Rd. Suite 200 Mesa AZ 85202 Ph: (480) 775-5154 | Mary Ann B. Thirakul, Pllc 2266 S. Dobson Rd. Suite 200 Mesa AZ 85202 Ph: (480) 775-5154 |
| NPI Number | 1679719306 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679719306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3783 (Arizona) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3783 (Arizona) | Secondary |
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