| Phoenix Psychological Services, P.c. | |
|
5449 N 80th Ln Glendale AZ 85303-5517 | |
| (480) 338-8788 | |
| (623) 872-8778 |
| Full Name | Phoenix Psychological Services, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 5449 N 80th Ln, Glendale, Arizona |
| Authorized Official Name and Position | Rosemarie Ludwig (PRESIDENT) |
| Authorized Official Contact | 4803388788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychological Services, P.c. 5449 N 80th Ln Glendale AZ 85303-5517 Ph: (480) 338-8788 | Phoenix Psychological Services, P.c. 5449 N 80th Ln Glendale AZ 85303-5517 Ph: (480) 338-8788 |
| NPI Number | 1871733741 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 1658429576 |
|---|---|
| Medicare Enrollment ID | O20240429001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871733741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rosemarie Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063497725 PECOS PAC ID: 9638519325 Enrollment ID: I20240429001298 |
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