| William Couthran, Psyd, Pllc | |
|
6700 N Oracle Rd Ste 326 Tucson AZ 85704-7739 | |
| (520) 442-2458 | |
| (520) 253-8522 |
| Full Name | William Couthran, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6700 N Oracle Rd Ste 326, Tucson, Arizona |
| Authorized Official Name and Position | William W Couthran (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5204422458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Couthran, Psyd, Pllc 3420 N Green Gulch Ct Tucson AZ 85745-7104 Ph: (524) 422-2458 | William Couthran, Psyd, Pllc 6700 N Oracle Rd Ste 326 Tucson AZ 85704-7739 Ph: (520) 442-2458 |
| NPI Number | 1366077851 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 8022446913 |
|---|---|
| Medicare Enrollment ID | O20200306000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366077851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William West Couthran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053717884 PECOS PAC ID: 1557795218 Enrollment ID: I20200106001169 |
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