Micah Mammen, PSYCHOLOGIST
Micah Mammen, PSYCHOLOGIST is a Student in an Organized Health Care Education/Training Program in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2017.
- Licensed in
- AZ
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1600 W Chandler Blvd Ste 110Chandler, AZ 85224-6100
Phone: (480) 524-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY-005068 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1316473994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSYCHOLOGIST |
| Sole proprietor | No |
| NPI enumerated | May 3, 2017 |
| Last updated in NPPES | December 8, 2021 |
| Certification date | December 7, 2021 |
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