03D2119201 CLIA NUMBER - Southern Arizona Integrated Medicine, Llc

Laboratory Demographics

CLIA Number: 03D2119201

Facility Name: Southern Arizona Integrated Medicine, Llc

Facility Address:
1604 N Country Club Rd,
Tucson, AZ
ZIP 85716
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Facility Phone Number: (520) 203-8680

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1477900348

Taxonomy: 103TP2701X - Psychologist
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

CLIA Record

Field Name Field Value
CLIA Number 03D2119201
LAB Type OTHER
Facility Name Southern Arizona Integrated Medicine, Llc
Street 1604 N Country Club Rd,
City Tucson
State AZ
ZIP 85716
Phone 5202038680

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This page was last updated on: 5/19/2019