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NPI Code Detail

MEDICARE: MRS. PAIGE I DEWETT MS, LAMFT

MEDICARE: MRS. PAIGE I DEWETT MS, LAMFT
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
1106H00000XMarriage & Family TherapistLAMFT-10321AZ

General Provider Information

NPI Number : 1912279381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAIGE I DEWETT MS, LAMFT
Provider Business Mailing Address
First Line : 9825 N 95TH ST
Second Line : SUITE 101
City : SCOTTSDALE
State : AZ
Zip : 85258-4590
Country : US
Telephone Number : 480-941-4247
Fax Number : 480-941-4010
Provider Business Practice Location Address
First Line : 9825 N 95TH ST
Second Line : SUITE 101
City : SCOTTSDALE
State : AZ
Zip : 85258-4590
Country : US
Telephone Number : 480-941-4247
Fax Number : 480-941-4010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 02/01/2012

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