Healthcare Provider Details

I. General information

NPI: 1275752453
Provider Name (Legal Business Name): PATRICIA ANNE BELDOTTI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 01/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7618 N LA CHOLLA BLVD
TUCSON AZ
85741
US

IV. Provider business mailing address

7618 N LA CHOLLA BLVD
TUCSON AZ
85741
US

V. Phone/Fax

Practice location:
  • Phone: 520-404-7553
  • Fax:
Mailing address:
  • Phone: 520-404-7553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4049
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: