Southern Arizona Psychological Services Pllc | |
2198 E Camelback Rd Ste 210a Phoenix AZ 85016-4746 | |
(480) 442-8340 | |
Not Available |
Full Name | Southern Arizona Psychological Services Pllc |
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Speciality | Psychologist |
Location | 2198 E Camelback Rd Ste 210a, Phoenix, Arizona |
Authorized Official Name and Position | Stephanie Reynolds (OWNER) |
Authorized Official Contact | 4804428340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Arizona Psychological Services Pllc 15252 N 100th St Unit 2162 Scottsdale AZ 85260-3896 Ph: () - | Southern Arizona Psychological Services Pllc 2198 E Camelback Rd Ste 210a Phoenix AZ 85016-4746 Ph: (480) 442-8340 |
NPI Number | 1063105302 |
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Provider Enumeration Date | 06/01/2023 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Medicare PECOS PAC ID | 4688029150 |
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Medicare Enrollment ID | O20231018003339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063105302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Stephanie Rebekah Reynolds |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588852040 PECOS PAC ID: 6406201979 Enrollment ID: I20231018003432 |
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