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NPI Code Detail

MEDICARE: TANZOLA Z ELDER

MEDICARE:   TANZOLA Z ELDER
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
1103TC1900XCounseling PsychologistAZ
2101Y00000XCounselorAZ
3101YM0800XMental Health Counselor
4101YM0800XMental Health CounselorAZ
5103TA0700XAdult Development & Aging PsychologistAZ
6103TE1100XExercise & Sports PsychologistAZ
7103TF0000XFamily PsychologistAZ
8103TR0400XRehabilitation PsychologistAZ
9101YP2500XProfessional Counselor
10101YS0200XSchool CounselorAZ
11103TA0400XAddiction (Substance Use Disorder) Psychologist
12106S00000XBehavior Technician

General Provider Information

NPI Number : 1548997729
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANZOLA Z ELDER
Provider Business Mailing Address
First Line : 4040 E MCDOWELL RD STE 220
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4438
Country : US
Telephone Number : 480-299-1234
Fax Number :
Provider Business Practice Location Address
First Line : 4040 E MCDOWELL RD STE 220
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4438
Country : US
Telephone Number : 480-299-1244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2022
Last Update Date : 07/08/2024

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Directions to “ TANZOLA Z ELDER ” Practice Location

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