Individual
RICHARD MICHAEL BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(623) 521-7174
Mailing address
7067 W PALMAIRE AVE, GLENDALE, AZ 85303-2640
(623) 521-7174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-13380
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-15674
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073274
—
AZ
Enumeration date
07/17/2012
Last updated
12/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us