Organization
PSI BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE J MCGOVERN PH.D. (MANAGER/OWNER)
(660) 341-5030
Entity
Organization
Contact information
Practice address
7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
(660) 341-5030
Mailing address
7301 E 3RD AVE, UNIT 405, SCOTTSDALE, AZ 85251-4451
(660) 341-5030
(480) 773-6063
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
4012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499779817
—
MO
Enumeration date
04/30/2009
Last updated
04/30/2009
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