| Renewed Psychological And Consultation Services | |
|
15278 W Bell Rd Ste 102 Surprise AZ 85374-3100 | |
| (850) 739-2332 | |
| Not Available |
| Full Name | Renewed Psychological And Consultation Services |
|---|---|
| Speciality | Psychologist |
| Location | 15278 W Bell Rd Ste 102, Surprise, Arizona |
| Authorized Official Name and Position | Tiffany Nicole Godwin (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6027992479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Psychological And Consultation Services 15411 W Waddell Rd Ste 102-1073 Surprise AZ 85379-5170 Ph: () - | Renewed Psychological And Consultation Services 15278 W Bell Rd Ste 102 Surprise AZ 85374-3100 Ph: (850) 739-2332 |
| NPI Number | 1003582552 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 2860883691 |
|---|---|
| Medicare Enrollment ID | O20220105000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003582552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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