Patricia Penn in Tucson - Addiction (substance Use Disorder)
Patricia Penn - NPI 1164552386
Patricia Penn is a Addiction (substance Use Disorder) in Tucson, Arizona. Patricia Penn practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Patricia Penn is 1164552386. The last update date is 2007-07-08.
Patricia Penn's current location address is 502 W 29th St, Tucson, Arizona. You can contact this provider via phone number 5208849920 and fax number 5207920654. The mailing address for Patricia Penn is 502 W 29th St, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Penn |
|---|---|
| Address | 502 W 29th St, Tucson, Arizona |
| Phone Number | 5208849920 |
| Fax Number | 5207920654 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164552386 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 502 W 29th St |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857133353 |
| Phone Number | 5208849920 |
| Fax Number | 5207920654 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 1959 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 505191 | AZ | -- |
Post Comment/ Review Below
What is the Patricia Penn's unique identification number?
The Patricia Penn has been assigned the NPI (National Provider Identifier) Number 1164552386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Patricia Penn?
The Patricia Penn is situated at 502 W 29Th St, in the city of Tucson, state of AZ, with the zip code 857133353.
What is Patricia Penn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Penn's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 103Ta0400X.
On what date did the Patricia Penn receive its 1164552386 assignment from the Centers for Medicare & Medicaid Services?
The Patricia Penn was assigned its 1164552386 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Patricia Penn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Patricia Penn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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