Kloss, Micki M

Kloss, Micki M is an individual health care provider with primary practice located at 8669 East San Alberto Suite 100, Scottsdale AZ 85258. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kloss, Micki M can be contacted via phone (480) 946-5226.

Contact Information

Primary practice address
8669 East San Alberto Suite 100 Scottsdale AZ 85258
Phone: (480) 946-5226
Fax: (480) 946-4722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LMFT0157 Arizona
Behavioral Health & Social Service Providers / School 103TS0200X 2948116 Arizona

Profile Details

NPI number 1760531966
LBN Legal business name Kloss, Micki M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 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 1760531966 NPPES
Other 054627 VALUE OPTIONS
Other AZ0607470 VALUE OPTIONS
Other 50308 VALUE OPTIONS
Other 5201615 VALUE OPTIONS

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