| Northern Arizona Med-psych Clinic, Pllc | |
|
2155 W Sr 89a St 105 Sedona AZ 86336-5468 | |
| (928) 821-3403 | |
| (928) 282-1852 |
| Full Name | Northern Arizona Med-psych Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2155 W Sr 89a, Sedona, Arizona |
| Authorized Official Name and Position | Linda Colleen Tolleson (CO-OWNER) |
| Authorized Official Contact | 9288215173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Arizona Med-psych Clinic, Pllc 989 S Main St Box 447 Cottonwood AZ 86326-4601 Ph: (928) 821-3403 | Northern Arizona Med-psych Clinic, Pllc 2155 W Sr 89a St 105 Sedona AZ 86336-5468 Ph: (928) 821-3403 |
| NPI Number | 1588061634 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588061634 | NPI | - | NPPES |
| 231772 | Medicaid | AZ | |
| 0000092216 | Other | MT | BLUE CROSS BLUE SHIELD |
| 000085117 | Other | MT | MEDICARE ID |
| 36928 | Other | AZ | ARIZONA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 36928 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36928 (Arizona) | Primary |
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