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NPI Code Detail

MEDICARE: DR. AUBREY JOY RODRIGUEZ PH.D.

MEDICARE: DR. AUBREY JOY RODRIGUEZ 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
1103T00000XPsychologist

General Provider Information

NPI Number : 1942448295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUBREY JOY RODRIGUEZ PH.D.
Provider Business Mailing Address
First Line : 3601 S 6TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Provider Business Practice Location Address
First Line : 3620 S 6TH AVE
Second Line : 4-116B
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2009
Last Update Date : 10/30/2019

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