| Coral Valley Psychological Services, Pllc | |
| 5010 E Warner Rd Ste 108 Phoenix AZ 85044-3354 | |
| (480) 382-4416 | |
| (844) 444-0723 | 
| Full Name | Coral Valley Psychological Services, Pllc | 
|---|---|
| Speciality | Psychologist - Clinical | 
| Location | 5010 E Warner Rd Ste 108, Phoenix, Arizona | 
| Authorized Official Name and Position | Lauren C. Taveras (OWNER/FOUNDER) | 
| Authorized Official Contact | 4803824416 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coral Valley Psychological Services, Pllc 5010 E Warner Rd Ste 108 Phoenix AZ 85044-3354 Ph: (480) 382-4416 | Coral Valley Psychological Services, Pllc 5010 E Warner Rd Ste 108 Phoenix AZ 85044-3354 Ph: (480) 382-4416 | 
| NPI Number | 1194549758 | 
|---|---|
| Provider Enumeration Date | 11/11/2024 | 
| Last Update Date | 11/11/2024 | 
| Certification Date | 11/11/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194549758 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary | 
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