DR. PRISCILLA C AMBROSE (NPI# 1245412485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245412485 |
Entity Type | Individual |
Full Name | DR. PRISCILLA C AMBROSE |
Credential | PSY.D. |
Practice Address |
348 W Seagoe Ave Coolidge AZ 85228-5414 |
Practice Telephone | 4802194486 |
Mailing Telephone | 4802194486 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
3962516 | AZ | Behavioral Health & Social Service Providers |
Street Address |
348 W SEAGOE AVE |
City | COOLIDGE |
State | AZ |
Zip Code | 85228-5414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710130059 | Arizona Training Program @coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-10-30 |
1285824409 | Rasha Kumar | Optometrist | 1695 North Arizona Boulevard, Coolidge, AZ 85228 | 2007-07-25 |
1083825780 | Sandra Y Barkyoumb | Occupational Therapist | 2800 Highway 87, Coolidge, AZ 85228 | 2007-05-24 |
1033321989 | Sun Life Family Health Center, Inc. | Clinic/Center | 1284 North Arizona Road, Coolidge, AZ 85228 | 2007-05-04 |
1417982059 | Dental Care Inc | Dentist | 417 W Central Avenue, Suite A, Coolidge, AZ 85228 | 2006-07-12 |
1639323082 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1528212974 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1992959340 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1194979542 | Arizona Training Program At Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1982858338 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
Find all providers in zip 85228 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326341256 | Coolidge Unified School District | Psychologist | 450 N Arizona Blvd, Coolidge, AZ 85128-4108 | 2010-12-15 |
1013196708 | Elizabeth Mcevoy-rumbo | Psychologist | 351 N Arizona Blvd, Coolidge, AZ 85228-4302 | 2007-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.