| Sisu Psychological Services Llc | |
|
17220 N Boswell Blvd Ste 206 Sun City AZ 85373-2070 | |
| (928) 228-0346 | |
| (844) 464-1201 |
| Full Name | Sisu Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 17220 N Boswell Blvd Ste 206, Sun City, Arizona |
| Authorized Official Name and Position | Cynthia Stahura (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9282280346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Psychological Services Llc 17220 N Boswell Blvd Ste 206 Sun City AZ 85373-2070 Ph: (928) 228-0346 | Sisu Psychological Services Llc 17220 N Boswell Blvd Ste 206 Sun City AZ 85373-2070 Ph: (928) 228-0346 |
| NPI Number | 1962880377 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 06/11/2023 |
| Certification Date | 06/11/2023 |
| Medicare PECOS PAC ID | 9739549155 |
|---|---|
| Medicare Enrollment ID | O20230718000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962880377 | NPI | - | NPPES |
| 988196 | Medicaid | AZ | |
| Z249020 | Other | AZ | MEDICARE |
| Provider Name | Cynthia Stahura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407247091 PECOS PAC ID: 4082931878 Enrollment ID: I20150314000352 |
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