MEDICARE: DR. RICHARD JOSEPH MUSZYNSKI PH.D.

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	103TC0700X	Clinical Psychologist	2072	AZ

General Provider Information

NPI Number	:	1831265891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOSEPH MUSZYNSKI PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 12580
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85732-2580
Country	:	US
Telephone Number	:	520-906-7048
Fax Number	:	520-296-8157

Provider Business Practice Location Address
First Line	:	5956 E PIMA ST STE 130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4375
Country	:	US
Telephone Number	:	520-906-7048
Fax Number	:	520-296-8157

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/17/2008

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