Provider Demographics
NPI:1417456419
Name:AAMA CONSCIOUS PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:AAMA CONSCIOUS PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFROZA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST, PSYD
Authorized Official - Phone:480-418-6044
Mailing Address - Street 1:4450 S RURAL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7037
Mailing Address - Country:US
Mailing Address - Phone:480-418-6044
Mailing Address - Fax:800-510-6949
Practice Address - Street 1:4450 S RURAL RD STE 230
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7037
Practice Address - Country:US
Practice Address - Phone:480-418-6044
Practice Address - Fax:800-510-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4690103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty