Organization
MEDITELECARE OF ARIZONA PLLC
Active
Organization
MEDITELECARE OF ARIZONA PLLC
Active
Other names
MediTelecare of Arizona PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE)
(860) 788-6404
Entity
Organization
Contact information
Practice address
8825 N 23RD AVE STE 100, PHOENIX, AZ 85021-4148
(860) 788-6404
(860) 829-0495
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
(860) 829-0495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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