Mountainview Clinical Psychology, Pllc | |
14300 N Northsight Blvd Ste 215 Scottsdale AZ 85260-3677 | |
(480) 280-6618 | |
Not Available |
Full Name | Mountainview Clinical Psychology, Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 14300 N Northsight Blvd Ste 215, Scottsdale, Arizona |
Authorized Official Name and Position | Kristi Lynn Husk (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 4802806618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountainview Clinical Psychology, Pllc 3217 E Shea Blvd Ste 168 Phoenix AZ 85028-3381 Ph: (480) 280-6618 | Mountainview Clinical Psychology, Pllc 14300 N Northsight Blvd Ste 215 Scottsdale AZ 85260-3677 Ph: (480) 280-6618 |
NPI Number | 1477066561 |
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Provider Enumeration Date | 11/10/2017 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Medicare PECOS PAC ID | 3375802788 |
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Medicare Enrollment ID | O20180110002079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477066561 | NPI | - | NPPES |
489117 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 3959 (Arizona) | Primary |
Provider Name | Kristi Lynn Husk |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720290398 PECOS PAC ID: 8224135504 Enrollment ID: I20100224000928 |
Provider Name | Amber Leigh Mahan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245819648 PECOS PAC ID: 8527406727 Enrollment ID: I20240408001578 |
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