West Valley Family Development Center | |
13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 | |
(623) 312-3713 | |
(623) 328-9352 |
Full Name | West Valley Family Development Center |
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Speciality | Psychologist |
Location | 13575 West Indian School Road, Litchfield Park, Arizona |
Authorized Official Name and Position | Valerie Ann Kemper (OWNER) |
Authorized Official Contact | 6233123713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Valley Family Development Center 13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 Ph: (623) 312-3713 | West Valley Family Development Center 13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 Ph: (623) 312-3713 |
NPI Number | 1457528739 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 01/23/2019 |
Medicare PECOS PAC ID | 4981591831 |
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Medicare Enrollment ID | O20040303001337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457528739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3338 (Arizona) | Primary |
Provider Name | Valerie A Kemper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124083688 PECOS PAC ID: 1254228109 Enrollment ID: I20110211000293 |
Provider Name | Andrew Lynn Fitzgerald |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912188582 PECOS PAC ID: 9931464922 Enrollment ID: I20180522001283 |
Provider Name | Kathryn J Goshorn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952925612 PECOS PAC ID: 3274955810 Enrollment ID: I20200626001744 |
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