MEDICARE: DR. PATRICIA STRASBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	3670	AZ

General Provider Information

NPI Number	:	1598904542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PATRICIA STRASBERG

Provider Business Mailing Address
First Line	:	5956 E PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4375
Country	:	US
Telephone Number	:	520-296-8171
Fax Number	:

Provider Business Practice Location Address
First Line	:	5956 E PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4375
Country	:	US
Telephone Number	:	520-296-8171
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. PATRICIA STRASBERG
Credential	:	ED.D.
Telephone Number	:	520-296-8171

Provider Enumeration Date	:	02/16/2009
Last Update Date	:	02/16/2009

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