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Micah Mammen, PSYCHOLOGIST
Clinical Psychologist in Chandler, Arizona
NPI 1316473994

Micah Mammen is a Clinical Psychologist based in Chandler, AZ and is specialized in Clinical. Micah Mammen practices in Chandler, AZ and has the professional credentials of PSYCHOLOGIST. The NPI Number for Micah Mammen is 1316473994 and holds a License No. (Arizona).

The current practice location address for Micah Mammen is 1600 W Chandler Blvd Ste 110, Chandler, AZ and can be reached out via phone at 480-524-0990. You can also correspond with Micah Mammen through the mailing address at 1600 W CHANDLER BLVD STE 110, CHANDLER, AZ - 85224-6100 (mailing address contact number: 480-524-0990).

Location: 1600 W Chandler Blvd Ste 110, Chandler, AZ, 85224-6100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316473994
Provider Name
Micah Mammen
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
1600 W Chandler Blvd Ste 110, Chandler, AZ, 85224-6100
Phone Number
480-524-0990
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Chandler Blvd Ste 110
City
Chandler
State
Arizona
Zip
85224-6100
Phone Number
480-524-0990
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Chandler Blvd Ste 110
City
Chandler
State
Arizona
Zip
85224-6100
Phone Number
480-524-0990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY-005068 (Arizona)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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