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1050 E. Southern, Suite A-1 Tempe AZ 85282-5403 | |
| (480) 831-8330 | |
| (480) 894-8881 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 1050 E. Southern, Suite A-1, Tempe, Arizona |
| Authorized Official Name and Position | Zelda Hittel, P.c. (PRESIDENT) |
| Authorized Official Contact | 4808318330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5249 N. 37th Place Paradise Valley AZ 85253-7532 Ph: (602) 955-7094 | 1050 E. Southern, Suite A-1 Tempe AZ 85282-5403 Ph: (480) 831-8330 |
| NPI Number | 1144346727 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144346727 | NPI | - | NPPES |
| 0131030 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0465 (Arizona) | Primary |
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