Provider Demographics
NPI:1386215051
Name:WEBSTER, RICK T (PSY-D)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:T
Last Name:WEBSTER
Suffix:
Gender:M
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 1:10750 W MCDOWELL RD STE C301
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-5964
Mailing Address - Country:US
Mailing Address - Phone:623-755-5679
Mailing Address - Fax:
Practice Address - Street 1:10750 W MCDOWELL RD STE C301
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-5964
Practice Address - Country:US
Practice Address - Phone:623-440-1633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-05
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-004499103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical