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NPI Code Detail

MEDICARE: ARIZONA NEUROPSYCHOLOGY PC

MEDICARE: ARIZONA NEUROPSYCHOLOGY PC
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
1103TA0700XAdult Development & Aging Psychologist
2103TC0700XClinical Psychologist
3103TF0200XForensic Psychologist
4103TH0100XHealth Service Psychologist
5103TP2701XGroup Psychotherapy Psychologist
6103TR0400XRehabilitation Psychologist
7103G00000XClinical Neuropsychologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z60229OTHERAZMEDICARE GROUP PIN

General Provider Information

NPI Number : 1609906932
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA NEUROPSYCHOLOGY PC
Provider Business Mailing Address
First Line : 9832 N HAYDEN RD
Second Line : SUITE 106
City : SCOTTSDALE
State : AZ
Zip : 85258-1298
Country : US
Telephone Number : 480-945-3475
Fax Number : 480-922-5569
Provider Business Practice Location Address
First Line : 9832 N HAYDEN RD
Second Line : SUITE 106
City : SCOTTSDALE
State : AZ
Zip : 85258-1298
Country : US
Telephone Number : 480-945-3475
Fax Number : 480-922-5569
Authorized Official
Title or Position : PRESIDENT
Name : DR. KEVIN PAGE O'BRIEN
Credential : PH.D.
Telephone Number : 480-945-3475
Provider Enumeration Date : 03/06/2007
Last Update Date : 01/11/2008

Similar Medicare Providers

1376618520 — DR. LANA N. SUSSKIND-WILDER PSY.D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax: 480-922-5569
1396802369 — DR. KEVIN P O'BRIEN PH.D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax: 480-922-5569
1326193707 — LISA GALPER PSY. D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-315-9311
Practice Fax: 480-922-5569
1194850248 — DR. DAVID RALPH ENGSTROM PH.D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-443-3332
Practice Fax: 480-922-5569
1336335488 — JAY D SUMMERS, PHD, PLLC
Practice Location Address:
9832 N HAYDEN RD , SUITE 16
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax:
1407000664 — PAMELA BETH SOLEM-WESER MC
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-529-5934
Practice Fax:

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