Healthcare Provider Details

I. General information

NPI: 1063500098
Provider Name (Legal Business Name): PATRICIA VOLKERTS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 N COUNTRY CLUB RD SUITE 202
TUCSON AZ
85716-1200
US

IV. Provider business mailing address

3444 N COUNTRY CLUB RD SUITE 202
TUCSON AZ
85716-1200
US

V. Phone/Fax

Practice location:
  • Phone: 520-325-2723
  • Fax: 520-325-7207
Mailing address:
  • Phone: 520-325-2723
  • Fax: 520-325-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0697
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: