Healthcare Provider Details

I. General information

NPI: 1366103657
Provider Name (Legal Business Name): POSTPARTUM LINK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20280 N 59TH AVE STE 115-136
GLENDALE AZ
85308-6850
US

IV. Provider business mailing address

20280 N 59TH AVE STE 115-136
GLENDALE AZ
85308-6850
US

V. Phone/Fax

Practice location:
  • Phone: 623-570-1895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALICE PICKERING
Title or Position: OWNER
Credential: PSY.D.
Phone: 623-570-1895