Healthcare Provider Details

I. General information

NPI: 1144320227
Provider Name (Legal Business Name): JANET ELAINE TATMAN PHD, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8160 N HAYDEN RD SUITE J-112
SCOTTSDALE AZ
85258-2467
US

IV. Provider business mailing address

8160 N HAYDEN RD SUITE J-112
SCOTTSDALE AZ
85258-2467
US

V. Phone/Fax

Practice location:
  • Phone: 480-905-8755
  • Fax: 480-905-8851
Mailing address:
  • Phone: 480-905-8755
  • Fax: 480-905-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1946
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3052
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: