Provider Demographics
NPI:1346375581
Name:SUMMERS, CLAUDIA ANNE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANNE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14617 S 35TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-7057
Mailing Address - Country:US
Mailing Address - Phone:602-764-1489
Mailing Address - Fax:
Practice Address - Street 1:14617 S 35TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-7057
Practice Address - Country:US
Practice Address - Phone:602-764-1489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool