Provider Demographics
NPI:1740006758
Name:PSYCHOLOGICAL ASSESSMENT AND RESEARCH CENTER
Entity type:Organization
Organization Name:PSYCHOLOGICAL ASSESSMENT AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-892-9746
Mailing Address - Street 1:64 E BROADWAY RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1353
Mailing Address - Country:US
Mailing Address - Phone:602-892-9746
Mailing Address - Fax:
Practice Address - Street 1:64 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1353
Practice Address - Country:US
Practice Address - Phone:602-892-9746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty