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NPI Code Detail

MEDICARE: DR. ASTRID MARGOT HEATHCOTE PSY.D

MEDICARE:  DR. ASTRID MARGOT HEATHCOTE  PSY.D
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
1103TC0700XClinical Psychologist3557AZ

General Provider Information

NPI Number : 1205949989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASTRID MARGOT HEATHCOTE PSY.D
Provider Business Mailing Address
First Line : 13838 S 46TH PL
Second Line : SUITE 325
City : PHOENIX
State : AZ
Zip : 85044-7800
Country : US
Telephone Number : 480-275-2249
Fax Number : 480-785-3954
Provider Business Practice Location Address
First Line : 13838 S 46TH PL
Second Line : SUITE 325
City : PHOENIX
State : AZ
Zip : 85044-7800
Country : US
Telephone Number : 480-275-2249
Fax Number : 480-785-3954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ASTRID MARGOT HEATHCOTE PSY.D” Practice Location

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