MEDICARE: DW RAISING PLC

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1770358228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DW RAISING PLC

Provider Business Mailing Address
First Line	:	11260 N 92ND ST UNIT 2131
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6174
Country	:	US
Telephone Number	:	602-290-0672
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 E MISSOURI AVE STE 640
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2735
Country	:	US
Telephone Number	:	602-290-0672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARTA DESOTO
Credential	:	PHD
Telephone Number	:	602-290-0672

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	02/09/2026

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