Provider Demographics
NPI:1871733741
Name:PHOENIX PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:PHOENIX PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-338-8788
Mailing Address - Street 1:5449 N 80TH LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-5517
Mailing Address - Country:US
Mailing Address - Phone:480-338-8788
Mailing Address - Fax:623-872-8778
Practice Address - Street 1:5449 N 80TH LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-5517
Practice Address - Country:US
Practice Address - Phone:480-338-8788
Practice Address - Fax:623-872-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty