MEDICARE: DR. ANITA MICHELLE ADAMS 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

General Provider Information

NPI Number	:	1699652032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA MICHELLE ADAMS PHD

Provider Business Mailing Address
First Line	:	5745 S LADYSLIPPER PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-6036
Country	:	US
Telephone Number	:	919-696-0255
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 N WILMOT RD STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2629
Country	:	US
Telephone Number	:	520-694-1234
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	04/19/2026

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