Organization
SA PSYCHIATRY PLLC
Active
Organization
SA PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN AIELLO PMHNP-BC (PRESIDENT/PROVIDER)
(928) 916-7860
Entity
Organization
Contact information
Practice address
12725 N PORTER CAMP TRL, PRESCOTT VALLEY, AZ 86315-4406
(928) 916-7860
(928) 436-2078
Mailing address
12725 N PORTER CAMP TRL, PRESCOTT VALLEY, AZ 86315-4406
(928) 916-7860
(928) 436-2078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
06/21/2022
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