Organization Name: | CAREFREE PSYCHOLOGICAL SERVICES, PLLC |
NPI Number: | 1235311499 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD RAYMOND SUMMERHILL (MANAGING MEMBER/ PSYCHOLOGIST) |
Mailing Address: | 7171 E Cave Creek Rd Suite P Carefree |
State: | AZ US |
Postal Code: | 853772987 |
Phone Number: | 4804887876 |
Fax Number: | 4804887432 |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |