| Spectrum Psychology Services, Pllc | |
|
16108 E Emerald Dr Unit 204 Fountain Hills AZ 85268-5424 | |
| (516) 978-8294 | |
| Not Available |
| Full Name | Spectrum Psychology Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16108 E Emerald Dr Unit 204, Fountain Hills, Arizona |
| Authorized Official Name and Position | Anthony V Santoro (PSYCHOLOGIST) |
| Authorized Official Contact | 5169788294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Psychology Services, Pllc 16108 E Emerald Dr Unit 204 Fountain Hills AZ 85268-5424 Ph: (516) 978-8294 | Spectrum Psychology Services, Pllc 16108 E Emerald Dr Unit 204 Fountain Hills AZ 85268-5424 Ph: (516) 978-8294 |
| NPI Number | 1770520116 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770520116 | NPI | - | NPPES |
| 02773311 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 013294 (New York) | Primary |
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