LACRESHIA CASAUNDRA WITCHER


Address: 2802 N 37th Ave, Phoenix, AZ 85009-1338
Phone: 6028285725

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
OTC8341 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 21213 05

Office Location

Street Address 2802 N 37TH AVE
City PHOENIX
State AZ
Zip Code 85009-1338

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85009

Improve Information

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Dataset Information

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.

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