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Organization
PSYCHIATRIC SERVICES, L.L.C.
Active
Organization
PSYCHIATRIC SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMNON ISRAEL KAHANE M.D. (OWNER/PSYCHIATRIST)
60243444541
Entity
Organization
Contact information
Practice address
4146 N 12TH ST, PHOENIX, AZ 85014-4932
(602) 434-4541
(602) 282-3894
Mailing address
2525 W BERYL AVE, PHOENIX, AZ 85021-1606
(602) 434-4541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23948
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451485
—
AZ
Enumeration date
06/10/2010
Last updated
06/10/2010
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