| Olugus Family Care | |
|
44077 W. Palmen Dr. Maricopa AZ 85138 | |
| (405) 474-3054 | |
| Not Available |
| Full Name | Olugus Family Care |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 44077 W. Palmen Dr., Maricopa, Arizona |
| Authorized Official Name and Position | Keauna D. Olugu (CLINICAL) |
| Authorized Official Contact | 4054743054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olugus Family Care 44077 W. Palmen Dr. Maricopa AZ 85138 Ph: (405) 474-3054 | Olugus Family Care 44077 W. Palmen Dr. Maricopa AZ 85138 Ph: (405) 474-3054 |
| NPI Number | 1982202594 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982202594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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