| Shelley S Kaufman Pc | |
|
17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 | |
| (602) 257-0560 | |
| Not Available |
| Full Name | Shelley S Kaufman Pc |
|---|---|
| Speciality | Psychologist |
| Location | 17505 N 79th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Shelley Kaufman (PRESIDENT) |
| Authorized Official Contact | 6022570560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley S Kaufman Pc Po Box 10863 Glendale AZ 85318-0863 Ph: (602) 257-0560 | Shelley S Kaufman Pc 17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 Ph: (602) 257-0560 |
| NPI Number | 1831541069 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831541069 | NPI | - | NPPES |
| ZPHD1389 | Other | AZ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1389 (Arizona) | Primary |
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