| Relaxingone.comneddavidbratspispc | |
|
6625 S Rural Rd Ste 111 Tempe AZ 85283-3717 | |
| (253) 514-0525 | |
| (480) 345-2126 |
| Full Name | Relaxingone.comneddavidbratspispc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6625 S Rural Rd Ste 111, Tempe, Arizona |
| Authorized Official Name and Position | Ned David Bratspis (PRESIDENT) |
| Authorized Official Contact | 2535140525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relaxingone.comneddavidbratspispc 6625 S Rural Rd Ste 111 Tempe AZ 85283-3717 Ph: (253) 514-0525 | Relaxingone.comneddavidbratspispc 6625 S Rural Rd Ste 111 Tempe AZ 85283-3717 Ph: (253) 514-0525 |
| NPI Number | 1831663194 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Medicare PECOS PAC ID | 4385097583 |
|---|---|
| Medicare Enrollment ID | O20240124001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831663194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ned David Bratspis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780765693 PECOS PAC ID: 7911350111 Enrollment ID: I20240124001359 |
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