| John Stapert PhD PLLC | |
|
17235 N 75th Ave E170 Glendale AZ 85308-0831 | |
| (623) 486-3001 | |
| Not Available |
| Full Name | John Stapert PhD PLLC |
|---|---|
| Speciality | Psychologist |
| Location | 17235 N 75th Ave, Glendale, Arizona |
| Authorized Official Name and Position | John Stapert (PRESIDENT) |
| Authorized Official Contact | 6234863001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Stapert PhD PLLC 17235 N 75th Ave E170 Glendale AZ 85308-0831 | John Stapert PhD PLLC 17235 N 75th Ave E170 Glendale AZ 85308-0831 Ph: (623) 486-3001 |
| NPI Number | 1962627174 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032218045 |
|---|---|
| Medicare Enrollment ID | O20070615000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962627174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Primary |
| Provider Name | John C Stapert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467557892 PECOS PAC ID: 3476578618 Enrollment ID: I20051006001037 |
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