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Organization

THE PHOENIX GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XANDER PHOENIX PSYD (OWNER)
(412) 819-5462
Entity
Organization

Contact information

Practice address
346 LAMARIDO ST, PITTSBURGH, PA 15226-1331
(412) 819-5462
Mailing address
346 LAMARIDO ST, PITTSBURGH, PA 15226-1331
(412) 819-5462

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
103TF0200X
Forensic Psychologist
Primary

Other

Enumeration date
05/18/2016
Last updated
05/18/2016
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