| Banner Psychological Services | |
|
1920 N Higley Rd Suite 106 Gilbert AZ 85234-1623 | |
| (480) 543-2688 | |
| Not Available |
| Full Name | Banner Psychological Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1920 N Higley Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Psychological Services 1441 N 12th St Phoenix AZ 85006-2837 | Banner Psychological Services 1920 N Higley Rd Suite 106 Gilbert AZ 85234-1623 Ph: (480) 543-2688 |
| NPI Number | 1831378793 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831378793 | NPI | - | NPPES |
| 279741 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3057 (Arizona) | Primary |
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