MEDICARE: PATRICIA HARRISON-MONROE 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	103T00000X	Psychologist	3545	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437123148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA HARRISON-MONROE PHD

Provider Business Mailing Address
First Line	:	2701 E ELVIRA RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-7124
Country	:	US
Telephone Number	:	520-874-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 E AJO WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-6201
Country	:	US
Telephone Number	:	520-874-3500
Fax Number	:

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	01/14/2008

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