| Psychological Services Of Scottsdale P L C | |
|
4047 N 40th Pl Phoenix AZ 85018-5206 | |
| (602) 510-6755 | |
| Not Available |
| Full Name | Psychological Services Of Scottsdale P L C |
|---|---|
| Speciality | Clinic/Center |
| Location | 4047 N 40th Pl, Phoenix, Arizona |
| Authorized Official Name and Position | Petra E Peper (OWNER) |
| Authorized Official Contact | 6025106755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Scottsdale P L C Po Box 12216 Scottsdale AZ 85267 Ph: (602) 510-6755 | Psychological Services Of Scottsdale P L C 4047 N 40th Pl Phoenix AZ 85018-5206 Ph: (602) 510-6755 |
| NPI Number | 1154798023 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 9133428428 |
|---|---|
| Medicare Enrollment ID | O20160509002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154798023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Arizona) | Primary |
| Provider Name | Petra E Peper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932324290 PECOS PAC ID: 4587755871 Enrollment ID: I20070731000584 |
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