Organization
PHOENIX NEUROLOGICAL INSTITUTE INC
Active
Organization
PHOENIX NEUROLOGICAL INSTITUTE INC
Active
Other names
Phoenician Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
2226 W NORTHERN AVE STE C212, PHOENIX, AZ 85021-4929
(480) 444-7472
(480) 912-7910
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(480) 444-7472
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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