Organization
MARY ANN B. THIRAKUL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN BELTRAN THIRAKUL PSY.D. (OWNER/PSYCHOLOGIST)
(480) 775-5154
Entity
Organization
Contact information
Practice address
2266 S. DOBSON RD., SUITE 200, MESA, AZ 85202
(480) 775-5154
(480) 744-2726
Mailing address
2266 S. DOBSON RD., SUITE 200, MESA, AZ 85202
(480) 775-5154
(480) 744-2726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3783
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
3783
AZ
Other
Enumeration date
12/30/2008
Last updated
07/26/2019
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