| Sumer Statler Aeed, Llc | |
|
7010 E Acoma Dr Suite A203 Scottsdale AZ 85254-3553 | |
| (480) 607-1022 | |
| (480) 367-1160 |
| Full Name | Sumer Statler Aeed, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7010 E Acoma Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Sumer Statler Aeed (OWNER) |
| Authorized Official Contact | 4806071022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumer Statler Aeed, Llc Po Box 13385 Scottsdale AZ 85267-3385 Ph: (480) 609-9300 | Sumer Statler Aeed, Llc 7010 E Acoma Dr Suite A203 Scottsdale AZ 85254-3553 Ph: (480) 607-1022 |
| NPI Number | 1134370935 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 8224026521 |
|---|---|
| Medicare Enrollment ID | O20081124000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134370935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3443 (Arizona) | Primary |
| Provider Name | Sumer S Aeed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073622601 PECOS PAC ID: 7113915414 Enrollment ID: I20040508000298 |
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