| West Valley Family Development Center | |
|
13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 | |
| (623) 312-3713 | |
| (623) 328-9352 |
| Full Name | West Valley Family Development Center |
|---|---|
| Speciality | Psychologist |
| Location | 13575 West Indian School Road, Litchfield Park, Arizona |
| Authorized Official Name and Position | Valerie Ann Kemper (OWNER) |
| Authorized Official Contact | 6233123713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Family Development Center 13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 Ph: (623) 312-3713 | West Valley Family Development Center 13575 West Indian School Road Suite 500 Litchfield Park AZ 85340 Ph: (623) 312-3713 |
| NPI Number | 1457528739 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 4981591831 |
|---|---|
| Medicare Enrollment ID | O20040303001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457528739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3338 (Arizona) | Primary |
| Provider Name | Valerie A Kemper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124083688 PECOS PAC ID: 1254228109 Enrollment ID: I20110211000293 |
| Provider Name | Andrew Lynn Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912188582 PECOS PAC ID: 9931464922 Enrollment ID: I20180522001283 |
| Provider Name | Kathryn J Goshorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952925612 PECOS PAC ID: 3274955810 Enrollment ID: I20200626001744 |
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