Organization
COLLABORATIVE CARE CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KARINA SANDHU (PRACTICE MANAGER)
(480) 636-8712
Entity
Organization
Contact information
Practice address
3873 W PARK AVE, CHANDLER, AZ 85226-1390
(480) 636-8712
Mailing address
3873 W PARK AVE, CHANDLER, AZ 85226-1390
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
AP4479
AZ
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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