Glenn David Tanita in Phoenix - Psychologist

Glenn David Tanita - NPI 1669632006

Glenn David Tanita is a Psychologist in Phoenix, Arizona. Glenn David Tanita practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Glenn David Tanita is 1669632006. The last update date is 2008-06-10.

Glenn David Tanita's current location address is 3250 W Lower Buckeye Rd, Phoenix, Arizona. You can contact this provider via phone number 6028766882. The mailing address for Glenn David Tanita is 3250 W Lower Buckeye Rd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn David Tanita
Address 3250 W Lower Buckeye Rd, Phoenix, Arizona
Phone Number 6028766882
Fax Number
Sole Proprietor Y
Credentials D.M.H.

NPI Number Detail

NPI Number 1669632006
Provider Enumeration Date 2008-06-10
Last Updated Date 2008-06-10

Provider Mailing Address Detail

Address 3250 W Lower Buckeye Rd
City Phoenix
State Arizona (AZ)
Post Code 850096729
Phone Number 6028766882
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1249
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Glenn David Tanita

What is the unique identifier code issued to Glenn David Tanita by the Centers for Medicare & Medicaid Services?

The Glenn David Tanita has been assigned the NPI (National Provider Identifier) 1669632006. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Glenn David Tanita's facilities are geographically located?

The facilities of Glenn David Tanita are physically situated at the following location: 3250 W Lower Buckeye Rd, Phoenix, AZ, 850096729.

What is the Glenn David Tanita's area of specialization and corresponding taxonomy classification?

The Glenn David Tanita's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1669632006 to Glenn David Tanita?

The Centers for Medicare & Medicaid Services assigned the 1669632006 to Glenn David Tanita on 2008-06-10.

As of what date were the details pertaining to Glenn David Tanita last refreshed?

The information related to the Glenn David Tanita, including its address, specialty, and other relevant details, was last updated on 2008-06-10.

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