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HEARTS AND MINDS, INC.

Clinical Neuropsychologist

Phoenix, Arizona

Provider NPI: 1780629923

Organization Information:
Organization Name:  HEARTS AND MINDS, INC.
Organization is not Subpart
Authorized Official:  MARC S. WALTER  PRESIDENT  602-9440480

Practice Location:
7220 N 16TH ST SUITE G PHOENIX, AZ 85020 US
Tel: 602-944-0480  Fax: 602-944-0482

Business Mailing Address:
7220 N 16TH ST SUITE G PHOENIX, AZ 85020 US
Tel: 602-944-0480  Fax: 602-944-0482

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZPHD856

Other Provider Identifiers:

IssuerNumberStateType
732512001AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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