| Risa E. Newell, Ph.d., L.l.c. | |
|
11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 | |
| (602) 478-1477 | |
| (602) 443-0400 |
| Full Name | Risa E. Newell, Ph.d., L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 11110 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Larisa Eubank Newell (PRESIDENT) |
| Authorized Official Contact | 6024781477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Risa E. Newell, Ph.d., L.l.c. 11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 Ph: (602) 478-1477 | Risa E. Newell, Ph.d., L.l.c. 11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 Ph: (602) 478-1477 |
| NPI Number | 1902093164 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/25/2017 |
| Medicare PECOS PAC ID | 3072587922 |
|---|---|
| Medicare Enrollment ID | O20040825000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902093164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3330 (Arizona) | Primary |
| Provider Name | Larisa Eubank Newell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801852991 PECOS PAC ID: 6608848593 Enrollment ID: I20040811000355 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |