Organization
KANNER PSYCHIATRY PLLC
Active
Organization
KANNER PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA HAMELIN (CREDENTIALER)
(602) 308-7817
Entity
Organization
Contact information
Practice address
1300 E MISSOURI AVE, PHOENIX, AZ 85014-2362
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, SUITE 200, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R71751
AZ
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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