| Sonoran Neuropsychology Pllc | |
|
14300 N Northsight Blvd Ste 215 Scottsdale AZ 85260-3677 | |
| (541) 905-4763 | |
| Not Available |
| Full Name | Sonoran Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 14300 N Northsight Blvd Ste 215, Scottsdale, Arizona |
| Authorized Official Name and Position | Jessica Powell (PRESIDENT) |
| Authorized Official Contact | 5419054763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Neuropsychology Pllc 8924 E Pinnacle Peak Rd Ste G5-405 Scottsdale AZ 85255-3618 Ph: () - | Sonoran Neuropsychology Pllc 14300 N Northsight Blvd Ste 215 Scottsdale AZ 85260-3677 Ph: (541) 905-4763 |
| NPI Number | 1932701307 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Medicare PECOS PAC ID | 1355754763 |
|---|---|
| Medicare Enrollment ID | O20210427001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932701307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jessica J Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326474180 PECOS PAC ID: 4789814260 Enrollment ID: I20140228001481 |
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