Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | ||
N | 103TC0700X | Clinical Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 4049 | AZ |
Y | 103TC0700X | Clinical Psychologist | 4049 | AZ |
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1275752453 |
---|---|
Provider Name | Dr. Patricia Anne Beldotti |
First Address | Tucson, AZ 85741 |
Second Address | Tucson, AZ 85741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 18/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11423006 | CAQH (01) | |
455730 | (05) | AZ |