Organization
SISU PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA STAHURA PSYD (OWNER/PSYCHOLOGIST)
(928) 228-0346
Entity
Organization
Contact information
Practice address
17220 N BOSWELL BLVD STE 206, SUN CITY, AZ 85373-2070
(928) 228-0346
(844) 464-1201
Mailing address
17220 N BOSWELL BLVD STE 206, SUN CITY, AZ 85373-2070
(928) 228-0346
(844) 464-1201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988196
—
AZ
01
—
Z249020
MEDICARE
AZ
Enumeration date
05/18/2015
Last updated
06/11/2023
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