Individual
DR. MICKI M KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8669 EAST SAN ALBERTO, SUITE 100, SCOTTSDALE, AZ 85258
(480) 946-5226
(480) 946-4722
Mailing address
8669 EAST SAN ALBERTO, SUITE 100, SCOTTSDALE, AZ 85258
(480) 946-5226
(480) 946-4722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LMFT0157
AZ
103TS0200X
School Psychologist
Primary
2948116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054627
VALUE OPTIONS
—
01
—
50308
CIGNA
—
01
—
5201615
AETNA
—
01
—
AZ0607470
BCBS
—
Enumeration date
01/09/2007
Last updated
09/11/2025
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