Organization
SUMMIT PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHACKO PMHNP-BC (PMHNP)
(480) 719-0098
Entity
Organization
Contact information
Practice address
5961 S GEMSTONE DR, CHANDLER, AZ 85249-5803
(480) 719-0098
Mailing address
5961 S GEMSTONE DR, CHANDLER, AZ 85249-5803
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
10/04/2023
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