Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 3388 | AZ |
N | 103TC0700X | Clinical Psychologist | 3388 | AZ |
N | 103G00000X | Clinical Psychologist | 003388 | AZ |
N | 103TC0700X | Clinical Psychologist | 003388 | AZ |
Y | 103TH0004X | Health Psychologist | 3388 | AZ |
N | 103TR0400X | Rehabilitation Psychologist | 3388 | AZ |
NPI | 1710970959 |
---|---|
Provider Name | Dr. Patricia A Falcon |
First Address | Tucson, AZ 85754-5461 |
Second Address | Tucson, AZ 85741-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
525321 | (05) | AZ |
620006787 | RAILROAD MEDICARE (01) | AZ |
620006789 | RAILROAD MEDICARE (01) | AZ |