| Spectrum Psychology And Wellness, Llc | |
|
1772 E Boston St Bldg 5 Ste 105 Gilbert AZ 85295-6242 | |
| (480) 427-0303 | |
| (480) 603-3914 |
| Full Name | Spectrum Psychology And Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1772 E Boston St, Gilbert, Arizona |
| Authorized Official Name and Position | Jeff Lahann (MANAGER) |
| Authorized Official Contact | 4806217257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Psychology And Wellness, Llc 1772 E Boston St Ste 105 Gilbert AZ 85295-6243 Ph: (480) 621-7257 | Spectrum Psychology And Wellness, Llc 1772 E Boston St Bldg 5 Ste 105 Gilbert AZ 85295-6242 Ph: (480) 427-0303 |
| NPI Number | 1699194852 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 4981827763 |
|---|---|
| Medicare Enrollment ID | O20140523000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699194852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Arizona) | Primary |
| Provider Name | Rebbeca Lahann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689951394 PECOS PAC ID: 0547437592 Enrollment ID: I20120209000191 |
| Provider Name | Leslie Alhanati O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609205202 PECOS PAC ID: 1355579491 Enrollment ID: I20160129001990 |
| Provider Name | Monika Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174778252 PECOS PAC ID: 8527108240 Enrollment ID: I20210322002579 |
| Provider Name | Rachel E Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073292462 PECOS PAC ID: 3072959535 Enrollment ID: I20240307001135 |
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