Healthcare Provider Details

I. General information

NPI: 1164359329
Provider Name (Legal Business Name): DR. NORA SUGAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W KORTSEN RD
CASA GRANDE AZ
85122-5910
US

IV. Provider business mailing address

220 W KORTSEN RD
CASA GRANDE AZ
85122-5910
US

V. Phone/Fax

Practice location:
  • Phone: 520-787-6322
  • Fax:
Mailing address:
  • Phone: 520-787-6322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: