Individual
DR. ROSALIA NOEMI PEREYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3507 N CENTRAL AVE STE 101, PHOENIX, AZ 85012-2121
(602) 314-4475
(602) 680-3318
Mailing address
14831 S 19TH WAY, PHOENIX, AZ 85048-4164
(602) 314-4475
(602) 680-3318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3666
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11725808
CAQH
AZ
01
—
137245
AHCCCS
AZ
05
—
137245
—
AZ
Enumeration date
08/11/2006
Last updated
04/22/2020
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