Id Substrate, Pllc - Phoenix, AZ

Id Substrate, Pllc

Group Psychotherapy Psychologist in Phoenix, Arizona

NPI 1043930662

Id Substrate, Pllc is a Group Psychotherapy Psychologist based in Phoenix, AZ and is specialized in Group Psychotherapy. Id Substrate, Pllc practices in Phoenix, AZ. The NPI Number for Id Substrate, Pllc is 1043930662 and holds a License No. (Arizona).

The current practice location address for Id Substrate, Pllc is 4500 N 32Nd St Ste 100A, Phoenix, AZ and can be reached out via phone at 602-200-8690 and via fax at 602-264-8107. You can also correspond with Id Substrate, Pllc through the mailing address at PO BOX 10044, PHOENIX, AZ - 85064-0044 (mailing address contact number: 602-405-4622).

Location: 4500 N 32Nd St Ste 100A, Phoenix, AZ, 85064-0044

NPI Number

1043930662

Provider Name

Id Substrate, Pllc

Credential

Provider Entity Type

Organization

Address

4500 N 32Nd St Ste 100A, Phoenix, AZ, 85064-0044

Phone Number

602-200-8690

Fax Number

602-264-8107

Provider Enumeration Date

09/01/2022

Last Update Date

03/13/2024

Address

4500 N 32Nd St Ste 100A

City

Phoenix

State

Arizona

Zip

85018-3360

Phone Number

602-200-8690

Fax Number

602-264-8107

Address

4500 N 32Nd St Ste 100A

City

Phoenix

State

Arizona

Zip

85018-3360

Phone Number

602-200-8690

Fax Number

602-264-8107

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

()

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Forensic

Taxonomy

103TF0200X

License No.

()

Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Group Psychotherapy

Taxonomy

103TP2701X

License No.

()

Definition

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.

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