| Steven Marrinson Phd Pc | |
|
7170 E Tierra Buena Lane 424 Scottsdale AZ 85254 | |
| (404) 717-7041 | |
| (678) 317-9051 |
| Full Name | Steven Marrinson Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7170 E Tierra Buena Lane, Scottsdale, Arizona |
| Authorized Official Name and Position | Steven A Marrinson (OWNER/PRESIDENT) |
| Authorized Official Contact | 4048499002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Marrinson Phd Pc 6 Tallullah Circle Valdosta GA 31602 Ph: (404) 717-7041 | Steven Marrinson Phd Pc 7170 E Tierra Buena Lane 424 Scottsdale AZ 85254 Ph: (404) 717-7041 |
| NPI Number | 1801370614 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 6507102720 |
|---|---|
| Medicare Enrollment ID | O20190109001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801370614 | NPI | - | NPPES |
| 097946 | Medicaid | AZ | |
| 4744 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Marrinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326101650 PECOS PAC ID: 0244356533 Enrollment ID: I20190109002004 |
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