MEDICARE: DR.ZELDA HITTEL, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	0465	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0131030	OTHER	AZ	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1144346727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR.ZELDA HITTEL, P.C.

Provider Business Mailing Address
First Line	:	5249 N. 37TH PLACE
Second Line	:
City	:	PARADISE VALLEY
State	:	AZ
Zip	:	85253-7532
Country	:	US
Telephone Number	:	602-955-7094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 E. SOUTHERN, SUITE A-1
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-5403
Country	:	US
Telephone Number	:	480-831-8330
Fax Number	:	480-894-8881

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ZELDA HITTEL, P.C.
Credential	:	PHD
Telephone Number	:	480-831-8330

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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