Decuzzi, Sandra

Decuzzi, Sandra is an individual health care provider with primary practice located at 2120 S. Mcclintock Dr. Ste. 105, Tempe AZ 85282. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Decuzzi, Sandra can be contacted via phone (480) 804-0326.

Contact Information

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

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 2872 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-2872 Arizona

Profile Details

NPI number 1902864945
LBN Legal business name Decuzzi, Sandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 21st, 2022 - about 2 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 1902864945 NPPES
Arizona MEDICAID 752627

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