MEDICARE: DR. IRENE ANTONIA ZAPPIA PHD

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	103TS0200X	School Psychologist	1513	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	620288	OTHER	AZ	AHCCCS

General Provider Information

NPI Number	:	1205970472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE ANTONIA ZAPPIA PHD

Provider Business Mailing Address
First Line	:	5035 E GOLDER RANCH DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-4286
Country	:	US
Telephone Number	:	520-818-2739
Fax Number	:

Provider Business Practice Location Address
First Line	:	5035 E GOLDER RANCH DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-4286
Country	:	US
Telephone Number	:	520-818-2739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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