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General NPI Number Information
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NPI Number | 1871733741
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Entity Type | Organization
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Legal Business Name | PHOENIX PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 5449 N 80TH LN
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City | GLENDALE
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State | AZ
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Zip | 85303-5517
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Country | US
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Telephone | 480-338-8788
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Fax | 623-872-8778
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Provider Business Mailing Address
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Address Line | 5449 N 80TH LN
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City | GLENDALE
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State | AZ
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Zip | 85303-5517
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Country | US
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Telephone | 480-338-8788
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Fax | 623-872-8778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROSEMARIE LUDWIG
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Credential | LPC
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Telephone | 480-338-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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