Mammen, Micah

Mammen, Micah is an individual health care provider with primary practice located at 1600 W Chandler Blvd Ste 110 , Chandler AZ 85224-6100. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mammen, Micah can be contacted via phone (480) 524-0990.

Contact Information

Primary practice address
1600 W Chandler Blvd Ste 110 Chandler AZ 85224-6100
Phone: (480) 524-0990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-005068 Arizona

Profile Details

NPI number 1316473994
LBN Legal business name Mammen, Micah
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2017
Last updated Dec 8th, 2021 - about 5 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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