Doctor Name: | NANCY M TINGER |
NPI Number: | 1184772766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC 11786 |
Business Practice Address: | 1784 W Superstition Blvd Apache Junction, AZ - 852203112 |
Business Phone Number: | 4802885328 |
Business Fax Number: | 4802885339 |
Mailing Address: | Po Box 3160, APACHE JUNCTION |
State: | AZ |
Postal Code: | 852173160 |
Phone Number: | 4802885328 |
Fax Number: | 4802885339 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC 11786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |