| Psychology Practice Of Judith Rand Phd Plc | |
|
1845 S Dobson Rd Ste 106 Mesa AZ 85202-5662 | |
| (480) 466-7010 | |
| (480) 219-5254 |
| Full Name | Psychology Practice Of Judith Rand Phd Plc |
|---|---|
| Speciality | Psychologist |
| Location | 1845 S Dobson Rd Ste 106, Mesa, Arizona |
| Authorized Official Name and Position | Judith Ellen Rand (OWNER) |
| Authorized Official Contact | 4804667010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Practice Of Judith Rand Phd Plc 1845 S Dobson Rd Ste 106 Mesa AZ 85202-5662 Ph: (480) 466-7010 | Psychology Practice Of Judith Rand Phd Plc 1845 S Dobson Rd Ste 106 Mesa AZ 85202-5662 Ph: (480) 466-7010 |
| NPI Number | 1497487912 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 1355721309 |
|---|---|
| Medicare Enrollment ID | O20220707003035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith Ellen Rand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609004043 PECOS PAC ID: 0446304216 Enrollment ID: I20220711001655 |
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