| Scot Liepack Phd | |
|
11000 N Scottsdale Rd Ste. 163 Scottsdale AZ 85254-6130 | |
| (480) 922-5440 | |
| (480) 922-5445 |
| Full Name | Scot Liepack Phd |
|---|---|
| Speciality | Psychologist |
| Location | 11000 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Scot Liepack (MEMBER) |
| Authorized Official Contact | 4803714773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scot Liepack Phd 21150 N Tatum Blvd #4012 Phoenix AZ 85050-4292 Ph: (480) 371-4773 | Scot Liepack Phd 11000 N Scottsdale Rd Ste. 163 Scottsdale AZ 85254-6130 Ph: (480) 922-5440 |
| NPI Number | 1255636767 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255636767 | NPI | - | NPPES |
| 1912924853 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4061 (Arizona) | Primary |
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