Provider Demographics
NPI:1871733741
Name:PHOENIX PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:PHOENIX PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-997-1550
Mailing Address - Street 1:2432 WEST PEORIA AVE
Mailing Address - Street 2:STE 1002
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4727
Mailing Address - Country:US
Mailing Address - Phone:602-997-1550
Mailing Address - Fax:602-678-0235
Practice Address - Street 1:2432 WEST PEORIA AVE
Practice Address - Street 2:STE 1002
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4727
Practice Address - Country:US
Practice Address - Phone:602-997-1550
Practice Address - Fax:602-678-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty