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Contact Information

MARYANN B THIRAKUL, PSYD.
2266 S. DOBSON RD.
SUITE 200
MESA, AZ85202
 Phone: 480-775-5154
 Fax: 480-744-2726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARYANN B THIRAKUL · (Female)

NPI Number 1265590418
Status Active
Credentials PSYD.
Entity Individual
Enumeration date 12/04/2006
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3783
  • AZ Medicaid 140717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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