Psyche Pllc | |
5240 E Knight Dr Ste 120 Tucson AZ 85712-2122 | |
(520) 795-0309 | |
(520) 795-2030 |
Full Name | Psyche Pllc |
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Speciality | Psychiatry & Neurology |
Location | 5240 E Knight Dr Ste 120, Tucson, Arizona |
Authorized Official Name and Position | Adriana-maria Boiangiu (PSYCHIATRY/ OWNER) |
Authorized Official Contact | 9739025563 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psyche Pllc 5240 E Knight Dr Ste 120 Tucson AZ 85712-2122 Ph: (520) 795-0309 | Psyche Pllc 5240 E Knight Dr Ste 120 Tucson AZ 85712-2122 Ph: (520) 795-0309 |
NPI Number | 1003295619 |
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Provider Enumeration Date | 05/28/2015 |
Last Update Date | 07/27/2015 |
Medicare PECOS PAC ID | 7517272586 |
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Medicare Enrollment ID | O20150819009461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003295619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 45341 (Arizona) | Primary |
Provider Name | Adriana Maria Boiangiu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396024741 PECOS PAC ID: 7214100205 Enrollment ID: I20111108000586 |
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