Birmingham, Patricia L

Birmingham, Patricia L is an individual health care provider with primary practice located at 2120 S Mcclintock Dr Suite 105, Tempe AZ 85282-2692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Birmingham, Patricia L can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
2120 S Mcclintock Dr Suite 105 Tempe AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC 11134 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-11134 Arizona

Profile Details

NPI number 1902885031
LBN Legal business name Birmingham, Patricia L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Apr 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902885031 NPPES
Arizona MEDICAID 999922

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