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1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 | |
| (520) 458-3600 | |
| (520) 458-3605 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1858 Paseo San Luis Ste D, Sierra Vista, Arizona |
| Authorized Official Name and Position | Karlaye Dimanche-rafindadi (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5204593600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 Ph: (520) 458-3600 | 1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 Ph: (520) 458-3600 |
| NPI Number | 1215243415 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215243415 | NPI | - | NPPES |
| 1194855981 | Other | AZ | TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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