Doctor Name: | BRENDA TAPAHE |
NPI Number: | 1093927832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M-06289 |
Business Practice Address: | Fort Defiance Indian Hospital Corner Of Rt N12 And N7 Fort Defiance, AZ - 86504 |
Business Phone Number: | 9287298000 |
Business Fax Number: | |
Mailing Address: | Po Box 4286, WINDOW ROCK |
State: | AZ |
Postal Code: | 865154286 |
Phone Number: | 9287293763 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | M-06289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |