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NPI Code Detail

MEDICARE: MRS. ANN MCCOLLAUM FORRESTER M.A., L.P.C.

MEDICARE:  MRS. ANN MCCOLLAUM FORRESTER  M.A., L.P.C.
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
1101YP2500XProfessional Counselor0927AZ

General Provider Information

NPI Number : 1487778643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN MCCOLLAUM FORRESTER M.A., L.P.C.
Provider Business Mailing Address
First Line : 3064 E CANNON DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3837
Country : US
Telephone Number : 602-527-4003
Fax Number : 602-482-1884
Provider Business Practice Location Address
First Line : 4001 W PARADISE DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-2939
Country : US
Telephone Number : 602-527-4003
Fax Number : 602-482-1884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ANN MCCOLLAUM FORRESTER M.A., L.P.C.” Practice Location

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