Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1209273 | AZ |
NPI | 1083831101 |
---|---|
Provider Name | Mrs. Nancy H. Lappitt |
First Address | Tucson, AZ 85750-2720 |
Second Address | Tucson, AZ 85719-2720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
592461 | (05) | AZ |