Tad Skinner, Ph.d. Llc | |
1300 S Mill Ave Tempe AZ 85281-5650 | |
(480) 363-8858 | |
Not Available |
Full Name | Tad Skinner, Ph.d. Llc |
---|---|
Speciality | Psychologist |
Location | 1300 S Mill Ave, Tempe, Arizona |
Authorized Official Name and Position | Tad Skinner (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 4803638858 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tad Skinner, Ph.d. Llc 1300 S Mill Ave Tempe AZ 85281-5650 Ph: (480) 363-8858 | Tad Skinner, Ph.d. Llc 1300 S Mill Ave Tempe AZ 85281-5650 Ph: (480) 363-8858 |
NPI Number | 1952092322 |
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Provider Enumeration Date | 05/17/2023 |
Last Update Date | 05/17/2023 |
Certification Date | 05/17/2023 |
Medicare PECOS PAC ID | 8628436680 |
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Medicare Enrollment ID | O20230622003483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952092322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Tad A Skinner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699897140 PECOS PAC ID: 7719887470 Enrollment ID: I20040109001096 |
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