MEDICARE: TURNING POINT BATTERED WOMEN'S SHELTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TR0400X	Rehabilitation Psychologist
2	347C00000X	Private Vehicle
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1083863526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNING POINT BATTERED WOMEN'S SHELTER, INC.

Provider Business Mailing Address
First Line	:	202 EAST GWEN STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7667
Country	:	US
Telephone Number	:	602-286-6154
Fax Number	:	602-230-1991

Provider Business Practice Location Address
First Line	:	202 EAST GWEN STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7667
Country	:	US
Telephone Number	:	602-286-6154
Fax Number	:	602-230-1991

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ANGELA MARIE BERRY
Credential	:	MA
Telephone Number	:	602-286-6154

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	09/09/2008

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