Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 3118203 | AZ |
NPI | 1104098516 |
---|---|
Provider Name | Dr. Alberta A. Arviso |
First Address | Tucson, AZ 85719-5813 |
Second Address | Tucson, AZ 85719-5813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 25/03/2008 |