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Organization

TEMPE PSYCHIATRY

Active
Other names
Tempe Psychiatry Gen Ptr
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EKRAM EBRAHIM (OWNER/MANAGER)
(480) 945-2558
Entity
Organization

Contact information

Practice address
455 S 48TH ST STE 109, TEMPE, AZ 85281-2302
(480) 945-2558
(480) 945-2354
Mailing address
455 S 48TH ST STE 109, TEMPE, AZ 85281-2302
(480) 945-2558
(480) 945-2354

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/17/2015
Last updated
09/03/2015
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