| Teletherapeutics Health In C | |
|
3762 Loma Ventosa Sierra Vista AZ 85650-9538 | |
| (888) 420-0589 | |
| (201) 646-3955 |
| Full Name | Teletherapeutics Health In C |
|---|---|
| Speciality | Psychologist |
| Location | 3762 Loma Ventosa, Sierra Vista, Arizona |
| Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
| Authorized Official Contact | 7324851301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapeutics Health In C 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (302) 526-4547 | Teletherapeutics Health In C 3762 Loma Ventosa Sierra Vista AZ 85650-9538 Ph: (888) 420-0589 |
| NPI Number | 1336886886 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 5395127906 |
|---|---|
| Medicare Enrollment ID | O20221004003369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336886886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leta Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891855920 PECOS PAC ID: 1658340195 Enrollment ID: I20221004003457 |
| Provider Name | Janet Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023175973 PECOS PAC ID: 1557743788 Enrollment ID: I20221027001867 |
| Provider Name | Elaine Maher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629055975 PECOS PAC ID: 7810366119 Enrollment ID: I20221208001101 |
| Provider Name | Susan Vrtis-younger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558468355 PECOS PAC ID: 3173696051 Enrollment ID: I20230120000734 |
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