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NPI Code Detail

MEDICARE: JOHN MARK CZAPLEWSKI PSY. D

MEDICARE: JOHN MARK CZAPLEWSKI 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
1103G00000XClinical Neuropsychologist
2103T00000XPsychologist005602AZ

General Provider Information

NPI Number : 1770130320
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MARK CZAPLEWSKI PSY. D
Provider Business Mailing Address
First Line : 10215 E CATALYST AVE
Second Line :
City : MESA
State : AZ
Zip : 85212-8105
Country : US
Telephone Number : 402-957-6371
Fax Number :
Provider Business Practice Location Address
First Line : 7776 S POINTE PKWY W STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5428
Country : US
Telephone Number : 480-382-7761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 03/18/2024

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