Healthcare Provider Details

I. General information

NPI: 1811024524
Provider Name (Legal Business Name): NINA RHORER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 E HOUSTON AVE
GILBERT AZ
85234-2166
US

IV. Provider business mailing address

140 S GILBERT RD
GILBERT AZ
85296-1016
US

V. Phone/Fax

Practice location:
  • Phone: 480-507-1359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: