| Statecare Llc | |
|
2190 N Grace Blvd Chandler AZ 85225-3416 | |
| (480) 917-9301 | |
| Not Available |
| Full Name | Statecare Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2190 N Grace Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Maryam Hazeghazam (OWNER) |
| Authorized Official Contact | 6233082472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statecare Llc 8790 E Via De Ventura Unit 5431 Scottsdale AZ 85261-4388 Ph: () - | Statecare Llc 2190 N Grace Blvd Chandler AZ 85225-3416 Ph: (480) 917-9301 |
| NPI Number | 1336692656 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336692656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 49617 (Arizona) | Primary |
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