Organization
MARA PSYCHOTHERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DRZEWIECKI PSYD, LP (CEO)
(602) 334-9904
Entity
Organization
Contact information
Practice address
7609 N 34TH AVE, PHOENIX, AZ 85051-7417
(602) 334-9904
Mailing address
7609 N 34TH AVE, PHOENIX, AZ 85051-7417
(602) 334-9904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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