Organization
BRAINCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE STARKLE (OWNER)
(480) 204-0640
Entity
Organization
Contact information
Practice address
2008 E MARSHALL AVE, PHOENIX, AZ 85016-3111
(480) 204-0640
Mailing address
2008 E MARSHALL AVE, PHOENIX, AZ 85016-3111
(480) 204-0640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184843005
IND NPI
AZ
Enumeration date
12/03/2012
Last updated
12/03/2012
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