| Southern Arizona Neuropsychology Associates Llc | |
|
403 W Cool Dr Ste 107 Tucson AZ 85704 | |
| (520) 329-8298 | |
| (520) 329-8311 |
| Full Name | Southern Arizona Neuropsychology Associates Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 403 W Cool Dr Ste 107, Tucson, Arizona |
| Authorized Official Name and Position | Jill T Caffrey (OWNER/PRESIDENT) |
| Authorized Official Contact | 5203298298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Arizona Neuropsychology Associates Llc 403 W Cool Dr Ste 107 Tucson AZ 85704-6551 Ph: (520) 329-8298 | Southern Arizona Neuropsychology Associates Llc 403 W Cool Dr Ste 107 Tucson AZ 85704 Ph: (520) 329-8298 |
| NPI Number | 1164697736 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 7416028394 |
|---|---|
| Medicare Enrollment ID | O20080620000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164697736 | NPI | - | NPPES |
| 329222 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2023 (Arizona) | Primary |
| Provider Name | Jill T Caffrey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669514758 PECOS PAC ID: 4587735782 Enrollment ID: I20080616000573 |
| Provider Name | Sara Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184113219 PECOS PAC ID: 2769738988 Enrollment ID: I20180702000545 |
| Provider Name | Marilyn Pipes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205950789 PECOS PAC ID: 4486999083 Enrollment ID: I20190102000654 |
| Provider Name | Maria Grazia Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013580703 PECOS PAC ID: 3375948060 Enrollment ID: I20210818001673 |
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