| The Legacy Institute | |
|
8190 W Deer Valley Rd #297 Peoria AZ 85382-2126 | |
| (623) 398-4814 | |
| (623) 234-3751 |
| Full Name | The Legacy Institute |
|---|---|
| Speciality | Psychologist - Health |
| Location | 8190 W Deer Valley Rd, Peoria, Arizona |
| Authorized Official Name and Position | Sharon Bell Banks (MEMBER) |
| Authorized Official Contact | 6233984814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Legacy Institute 8190 W Deer Valley Rd #297 Peoria AZ 85382-2126 Ph: (623) 398-4814 | The Legacy Institute 8190 W Deer Valley Rd #297 Peoria AZ 85382-2126 Ph: (623) 398-4814 |
| NPI Number | 1962771329 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962771329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | 3984 (Arizona) | Primary |
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