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NPI Code Detail

MEDICARE: ALANA BOTTINELLI ED.S.

MEDICARE: ALANA BOTTINELLI ED.S.
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1427195650
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANA BOTTINELLI ED.S.
Provider Business Mailing Address
First Line : 15801 S 48TH ST
Second Line : APARTMENT # 3061
City : PHOENIX
State : AZ
Zip : 85048-0807
Country : US
Telephone Number : 480-598-4167
Fax Number :
Provider Business Practice Location Address
First Line : 3401 N 67TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85033-4517
Country : US
Telephone Number : 623-691-5218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ ALANA BOTTINELLI ED.S.” Practice Location

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