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6400 E Grant Rd Ste 170 Tucson AZ 85715-3800 | |
| (480) 712-4600 | |
| (602) 428-7045 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6400 E Grant Rd Ste 170, Tucson, Arizona |
| Authorized Official Name and Position | Cindy Proffitt (DIRECTOR OF BILLING) |
| Authorized Official Contact | 4802197178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 20216 Phoenix AZ 85036-0216 Ph: (480) 219-7178 | 6400 E Grant Rd Ste 170 Tucson AZ 85715-3800 Ph: (480) 712-4600 |
| NPI Number | 1053035774 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053035774 | NPI | - | NPPES |
| 1427421098 | Medicaid | AZ |
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