Paradise Counseling & Consultation Center Pc in Phoenix - Clinical
Paradise Counseling & Consultation Center Pc - NPI 1376701508
Paradise Counseling & Consultation Center Pc is a Clinical in Phoenix, Arizona. Paradise Counseling & Consultation Center Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paradise Counseling & Consultation Center Pc is 1376701508. The last update date is 2008-05-23.
Paradise Counseling & Consultation Center Pc's current location address is 11020 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6029968619 and fax number 6029967932. The mailing address for Paradise Counseling & Consultation Center Pc is 11020 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paradise Counseling & Consultation Center Pc |
|---|---|
| Address | 11020 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6029968619 |
| Fax Number | 6029967932 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Keller E Martin |
| Credentials | EDD |
| Telephone Number | 6029968619 |
NPI Number Detail
| NPI Number | 1376701508 |
|---|---|
| Provider Enumeration Date | 2008-05-23 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 11020 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850286072 |
| Phone Number | 6029968619 |
| Fax Number | 6029967932 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 503 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Paradise Counseling & Consultation Center Pc by the Centers for Medicare & Medicaid Services?
The Paradise Counseling & Consultation Center Pc has been issued the NPI (National Provider Identifier) 1376701508, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Paradise Counseling & Consultation Center Pc's facilities are situated?
The facilities of Paradise Counseling & Consultation Center Pc are physically located at the following address: 11020 N Tatum Blvd, Phoenix, AZ, 850286072.
What is the Paradise Counseling & Consultation Center Pc's specialty and taxonomy code?
The Paradise Counseling & Consultation Center Pc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Paradise Counseling & Consultation Center Pc receive its 1376701508 assignment from the Centers for Medicare & Medicaid Services?
The Paradise Counseling & Consultation Center Pc was assigned its 1376701508 by the Centers for Medicare & Medicaid Services on 2008-05-23.
When was the information regarding Paradise Counseling & Consultation Center Pc most recently updated?
The details pertaining to the Paradise Counseling & Consultation Center Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-23.
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