Organization
ARIZONA IN LOVE PLLC
Active
Other names
Scot Liepack PhD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT LIEPACK PHD (MEMBER)
(480) 371-4773
Entity
Organization
Contact information
Practice address
11000 N SCOTTSDALE RD, STE. 163, SCOTTSDALE, AZ 85254-6130
(480) 922-5440
(480) 922-5445
Mailing address
21150 N TATUM BLVD, #4012, PHOENIX, AZ 85050-4292
(480) 371-4773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912924853
INDIVIDUAL NPI
—
Enumeration date
01/13/2011
Last updated
01/13/2011
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