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Contact Information

ANXIETY DISORDERS AND MEDICAL PSYCHOLOGY TREATMENT CENTER, P.C.
617 N HUMPHREYS ST
SUITE 101
FLAGSTAFF, AZ86001-3063
 Phone: 928-779-3783
 Fax: 928-773-1150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANXIETY DISORDERS AND MEDICAL PSYCHOLOGY TREATMENT CENTER PC · (Female)

NPI # 1518141985
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2007
Last updated 04/09/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 3538
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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