LACRESHIA CASAUNDRA WITCHER (NPI# 1346750791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346750791 |
Entity Type | Individual |
Full Name | LACRESHIA CASAUNDRA WITCHER |
Practice Address |
2802 N 37th Ave Phoenix AZ 85009-1338 |
Practice Telephone | 6028285725 |
Mailing Telephone | 6028285725 |
Enumeration Date | 2017-10-11 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
OTC8341 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 21213 | 05 |
Street Address |
2802 N 37TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85009-1338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669982013 | Sterling Bridges | Psychologist | 2802 N 37th Ave, Phoenix, AZ 85009-1338 | 2017-10-11 |
1851801294 | Better Homes Behavioral Health Services | Psychologist | 2802 N 37th Ave, Phoenix, AZ 85009 | 2017-10-11 |
1275043622 | Carmen Williams | Counselor | 2802 N 37th Ave, Phoenix, AZ 85009-1338 | 2017-10-11 |
1467962811 | Rodney Pearson | Counselor | 2802 N 37th Ave, Phoenix, AZ 85009 | 2017-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
Find all providers in zip 85009 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821648791 | Amy Carden | Psychologist | 1616 E Indian School Rd Ste 150, Phoenix, AZ 85016-8611 | 2019-09-12 |
1720550114 | Ina Evelyn Hilgers | Psychologist | 1419 W Windsong Dr, Phoenix, AZ 85045-0745 | 2018-12-22 |
1669982013 | Sterling Bridges | Psychologist | 2802 N 37th Ave, Phoenix, AZ 85009-1338 | 2017-10-11 |
1285960435 | Jacqueline N Fulcher | Psychologist | 23327 N 44th Pl, Phoenix, AZ 85050-8799 | 2009-10-22 |
1407908791 | Stephen Thomas Donohue | Psychologist | 14821 N 17th Ave, Phoenix, AZ 85023-5138 | 2007-01-17 |
1205811965 | William P. Bedell | Psychologist | 2432 W Peoria Ave Ste 1340, Phoenix, AZ 85029-4741 | 2005-12-14 |
1366435844 | James Andrew Mackenzie | Psychologist | 1300 N 12th St # 605, Banner Family Medicine Center, Phoenix, AZ 85006-2898 | 2005-08-30 |
1134605686 | Debra C Goldfine | Psychologist | 300 W Clarendon Ave Ste 470, Phoenix, AZ 85013-3475 | 2018-07-18 |
1851801294 | Better Homes Behavioral Health Services | Psychologist | 2802 N 37th Ave, Phoenix, AZ 85009 | 2017-10-11 |
1144730086 | Sentience, Pllc | Psychologist | 300 W Clarendon Ave Ste 470, Phoenix, AZ 85013-3475 | 2017-10-05 |
Find all providers in PHOENIX |
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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.