Healthcare Provider Details
I. General information
NPI: 1851629844
Provider Name (Legal Business Name): FRANCISCO ANTONIO SANCHEZ PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
504 E. SPEEDWAY BLVD
TUCSON AZ
85705
US
IV. Provider business mailing address
P.O. BOX 289
TUCSON AZ
85702
US
V. Phone/Fax
- Phone: 520-906-3454
- Fax: 520-884-0734
- Phone: 520-906-3454
- Fax: 520-884-0734
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 1844 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: