Spectrum Village, Pllc is a Psychology Clinic in Phoenix, Arizona. It is located at 4150 W Peoria Ave, Ste. 133, Phoenix, AZ and its contact number is 602-910-0526. The authorized person for Spectrum Village, Pllc is Dr. Lori Kim Lichte-brill
who is Chief Clinical Officer of the clinic and his/her contact number is 602-910-0526. The primary license number for Spectrum Village, Pllc is 4484 (Clinical) in Arizona.
Spectrum Village, Pllc Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Spectrum Village, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Spectrum Village, Pllc |
| Specialization: | Psychology |
| Clinic Address: | 4150 W Peoria Ave, Ste. 133, Phoenix,
Arizona, 85029-3900 |
| Phone: | 602-910-0526 |
| Fax: | 602-346-0117 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Lori Kim Lichte-brill |
| Position: | Chief Clinical Officer |
| Contact Number: | 602-910-0526 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Spectrum Village, Pllc clinic are as mentioned below.
| NPI Number: | 1841686078 |
| NPI Enumeration Date: | 14 Apr, 2015 |
| NPI Last Update On: | 14 Apr, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spectrum Village, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | 4484 | Arizona | Primary | |
| Behavioral Analyst | 127 | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 462224 | Other | Arizona | Ahcccs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Spectrum Village, Pllc
4150 W Peoria Ave, Ste. 133
Phoenix, Arizona |
| Zip: | 85029-3900 |
| Phone Number: | 602-910-0526 |
| Fax Number: | 602-346-0117 |
Patients can reach Spectrum Village, Pllc at
4150 W Peoria Ave, Ste. 133, Phoenix, Arizona or can
call to book an appointment on 602-910-0526.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.