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NPI Code Detail

MEDICARE: APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43

MEDICARE: APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43
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
1103T00000XPsychologist3682595AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1968969OTHERAZAHCCCS

General Provider Information

NPI Number : 1154502490
Entity Type Code : Organization
Provider Name (Legal Business Name) : APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43
Provider Business Mailing Address
First Line : 1575 W SOUTHERN AVE
Second Line : SUITE 6
City : APACHE JUNCTION
State : AZ
Zip : 85220-7456
Country : US
Telephone Number : 480-982-1110
Fax Number : 480-983-6497
Provider Business Practice Location Address
First Line : 1575 W SOUTHERN AVE
Second Line : SUITE 6
City : APACHE JUNCTION
State : AZ
Zip : 85220-7456
Country : US
Telephone Number : 480-982-1110
Fax Number : 480-983-6497
Authorized Official
Title or Position : DIRECTOR OF SPECIAL EDUCATION
Name : MRS. PEGGY A MEJIA
Credential : M.A.
Telephone Number : 480-982-1110
Provider Enumeration Date : 11/15/2007
Last Update Date : 11/15/2007

Similar Medicare Providers

1487709432 — SARAH MARIA PINGATORE M.S. SLP-CCC
Practice Location Address:
1575 W SOUTHERN AVE
APACHE JUNCTION, AZ
85220-7456
Practice Phone: 480-982-1110
Practice Fax:
1356484000 — APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43
Practice Location Address:
1575 W SOUTHERN AVE , SUITE #6
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1518000322 — CHRIS HOLCOMBE M.S.
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1575 W SOUTHERN AVE , SUITE 6
APACHE JUNCTION, AZ
85220-7456
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Practice Fax:
1063555191 — MS. CARMELLA RENAE STALEY LPN
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1063693307 — APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43
Practice Location Address:
1575 W SOUTHERN AVE , SUITE 6
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1437080751 — ESTHER VAUGHN
Practice Location Address:
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Practice Fax:

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