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Search › Arizona › 103TC0700X

Micah Mammen, PSYCHOLOGIST

NPI 1316473994 · on the registry since 2017

Practice

Address
1600 W Chandler Blvd Ste 110
Chandler, AZ 85224
Phone
(480) 524-0990
Organisation at this address
Takyar Llc
Takyar Pllc
Ground Work
Core Self Llc
Aces 2020, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
390200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona