San Juana Mendoza, MAEDS is a
Psychologist based in Sal Luis, Arizona. San Juana Mendoza is licensed to practice in Arizona (license number ) and her current practice location is
1453 N. Main Street, Suite F, Sal Luis, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 627-3635.
NPI number for San Juana Mendoza is 1467583666 and her current mailing address is 2968 S Broken Arrow Ln, Yuma, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467583666.
Healthcare Provider's Profile
| Full Name | San Juana Mendoza |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1453 N. Main Street, Suite F, Sal Luis, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467583666
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for San Juana Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467583666 | NPI | - | NPPES |
| 333061 | Other | AZ | AHCCS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. San Juana Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
San Juana Mendoza, MAEDS
2968 S Broken Arrow Ln,
Yuma, AZ 85364-7447
Ph: (928) 344-8096 | San Juana Mendoza, MAEDS
1453 N. Main Street, Suite F,
Sal Luis, AZ 85349
Ph: (928) 627-3635 |
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