Organization
BLUEPAZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA N. RAMPERSAD PH.D., LPC, NCC (CHIEF CONSULTANT)
(602) 345-1425
Entity
Organization
Contact information
Practice address
7000 N 16TH ST, STE 120 #158, PHOENIX, AZ 85020
(602) 345-1425
Mailing address
7000 N 16TH ST, STE 120 #158, PHOENIX, AZ 85020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1275
HI
103TC0700X
Clinical Psychologist
4742
AZ
103TC1900X
Counseling Psychologist
1275
HI
103TC1900X
Counseling Psychologist
4742
AZ
103TF0200X
Forensic Psychologist
1275
HI
103TF0200X
Forensic Psychologist
Primary
4742
AZ
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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