| Psyched By Pife | |
|
2230 E Speedway Blvd Ste 100 Tucson AZ 85719-4762 | |
| (520) 276-3381 | |
| Not Available |
| Full Name | Psyched By Pife |
|---|---|
| Speciality | Clinic/Center |
| Location | 2230 E Speedway Blvd Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Marissa Pife (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2404223887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyched By Pife 1228 N 4th Ave Tucson AZ 85705-7466 Ph: (240) 422-3887 | Psyched By Pife 2230 E Speedway Blvd Ste 100 Tucson AZ 85719-4762 Ph: (520) 276-3381 |
| NPI Number | 1972320547 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 7113451527 |
|---|---|
| Medicare Enrollment ID | O20241107002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972320547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marissa Pifer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730916396 PECOS PAC ID: 8022542430 Enrollment ID: I20241120001460 |
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