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NPI Code Detail

MEDICARE: CENTER FOR BEHAVIORAL MEDICINE, PLC

MEDICARE: CENTER FOR BEHAVIORAL MEDICINE, PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician36546AZ

General Provider Information

NPI Number : 1447401948
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR BEHAVIORAL MEDICINE, PLC
Provider Business Mailing Address
First Line : 17903 W SOLANO DR
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-2548
Country : US
Telephone Number : 602-758-5959
Fax Number : 623-344-4450
Provider Business Practice Location Address
First Line : 6015 W PEORIA AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-1213
Country : US
Telephone Number : 602-758-5959
Fax Number : 623-344-4450
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARTIN NEWMAN
Credential : M.D.
Telephone Number : 623-344-4400
Provider Enumeration Date : 10/02/2008
Last Update Date : 05/03/2010

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Directions to “CENTER FOR BEHAVIORAL MEDICINE, PLC ” Practice Location

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