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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, P.C.

NPI Number 1518141985
LBN Legal business name ANXIETY DISORDERS AND MEDICAL PSYCHOLOGY TREATMENT CENTER, P.C.
Authorized official SUMNER SYDEMAN - (AZ LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2007
Last updated 04/09/2008 - About 18 years ago
Identifiers
AZ License # 3538
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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