Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1235324351 |
---|---|
Provider Name | Ms. Cindee Marie Badalamente |
First Address | Phoenix, AZ 85016-3027 |
Second Address | Phoenix, AZ 85019-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 11/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
898520 | (05) | AZ |