| Phoenix Neurological Institute Inc | |
|
2226 W Northern Ave Ste C212 Phoenix AZ 85021-4929 | |
| (480) 444-7472 | |
| (480) 912-7910 |
| Full Name | Phoenix Neurological Institute Inc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 2226 W Northern Ave Ste C212, Phoenix, Arizona |
| Authorized Official Name and Position | Anupam Ahlawat (COO) |
| Authorized Official Contact | 4804447447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Neurological Institute Inc 1343 N Alma School Rd Ste 160 Chandler AZ 85224-5901 Ph: (480) 444-7472 | Phoenix Neurological Institute Inc 2226 W Northern Ave Ste C212 Phoenix AZ 85021-4929 Ph: (480) 444-7472 |
| NPI Number | 1770364564 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770364564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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