Provider Demographics
NPI:1407121940
Name:DOYLE, PHILIP ARHTUR (MAPC, LPC)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:ARHTUR
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MAPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55034
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85078-5034
Mailing Address - Country:US
Mailing Address - Phone:602-402-2007
Mailing Address - Fax:
Practice Address - Street 1:5550 N 12TH ST
Practice Address - Street 2:#19
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2306
Practice Address - Country:US
Practice Address - Phone:602-402-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11724101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional