| Sa Psychiatry PLLC | |
|
12725 N Porter Camp Trl Prescott Valley AZ 86315-4406 | |
| (928) 916-7860 | |
| (928) 436-2078 |
| Full Name | Sa Psychiatry PLLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12725 N Porter Camp Trl, Prescott Valley, Arizona |
| Authorized Official Name and Position | Stephen Aiello (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 9289167860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Psychiatry PLLC 12725 N Porter Camp Trl Prescott Valley AZ 86315-4406 Ph: (928) 916-7860 | Sa Psychiatry PLLC 12725 N Porter Camp Trl Prescott Valley AZ 86315-4406 Ph: (928) 916-7860 |
| NPI Number | 1982362166 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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