Doctor Name: | DAWN BARTLEMAN |
NPI Number: | 1376937763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LAC-13999 |
Business Practice Address: | 6915 E Main St Mesa, AZ - 852078229 |
Business Phone Number: | 6028082814 |
Business Fax Number: | 4802881332 |
Mailing Address: | 202 E. Earll Dr., Suite 200 PHOENIX |
State: | AZ |
Postal Code: | 850122647 |
Phone Number: | 6025995404 |
Fax Number: | 6025995704 |
NPI Enumeration Date: | 03/24/2015 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LAC-13999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |