Cornell, Luz Marina

Cornell, Luz Marina is an sole proprietor health care provider with primary practice located at 2925 E Riggs Rd # 8-207, Chandler AZ 85249-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cornell, Luz Marina can be contacted via phone (954) 205-3186.

Contact Information

Primary practice address
2925 E Riggs Rd # 8-207 Chandler AZ 85249-3600
Phone: (954) 205-3186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3848 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5470 Florida

Profile Details

NPI number 1679606420
LBN Legal business name Cornell, Luz Marina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1679606420 NPPES
Arizona Other 184412 AHCCCS PROVIDER NUMBER

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