| Mountain Waves Healing Arts, Inc. | |
|
2323 E Greenlaw Ln Suite 10 Flagstaff AZ 86004-1810 | |
| (928) 526-5171 | |
| Not Available |
| Full Name | Mountain Waves Healing Arts, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2323 E Greenlaw Ln, Flagstaff, Arizona |
| Authorized Official Name and Position | Roxanne R Witte (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9285261961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Waves Healing Arts, Inc. 2323 E Greenlaw Ln Suite 10 Flagstaff AZ 86004-1810 Ph: (928) 526-5171 | Mountain Waves Healing Arts, Inc. 2323 E Greenlaw Ln Suite 10 Flagstaff AZ 86004-1810 Ph: (928) 526-5171 |
| NPI Number | 1003932898 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003932898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | AZ1575 (Arizona) | Primary |
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