Stride Psychological Services | |
2600 E Southern Ave Ste C3 Tempe AZ 85282-7609 | |
(480) 839-6264 | |
Not Available |
Full Name | Stride Psychological Services |
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Speciality | Community/Behavioral Health |
Location | 2600 E Southern Ave Ste C3, Tempe, Arizona |
Authorized Official Name and Position | Mary C Oakley (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6024782963 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stride Psychological Services 2600 E Southern Ave Ste C3 Tempe AZ 85282-7609 Ph: (480) 839-6264 | Stride Psychological Services 2600 E Southern Ave Ste C3 Tempe AZ 85282-7609 Ph: (480) 839-6264 |
NPI Number | 1811232721 |
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Provider Enumeration Date | 12/04/2012 |
Last Update Date | 12/04/2012 |
Medicare PECOS PAC ID | 9537306980 |
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Medicare Enrollment ID | O20130502000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811232721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4312 (Arizona) | Primary |
Provider Name | Mary C Oakley |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912256173 PECOS PAC ID: 2264679612 Enrollment ID: I20130507000188 |
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