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WOOTEN & ASSOCIATES PLC NPI 1083853147


NPI Information

NPI: 1083853147
Provider Name: WOOTEN & ASSOCIATES, PLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 03D2091509

Address:
810 N 6TH AVE
PHOENIX, AZ
ZIP 85003
Phone: (602) 462-1116
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WOOTEN & ASSOCIATES, PLC is a clinical psychologist in Phoenix, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WOOTEN & ASSOCIATES, PLC NPI is 1083853147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

810 N 6TH AVE
PHOENIX, AZ
ZIP 85003-318
Phone: (602) 462-1116
Fax: (602) 462-1119

The provider's authorized official is Buffy T Wooten .
The authorized official title is Managing Member and has the following contact phone number (602) 462-1116.

The CLIA number assigned to this NPI record is 03D2091509 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2009 and was last updated on 2/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical3308ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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