Doctor Name: | NORMA JEAN TSOSIE |
NPI Number: | 1407042310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ED ID 2721198 |
Business Practice Address: | Highway 264 Mustang Road 1 Mile North St. Michaels, AZ - 86511 |
Business Phone Number: | 9288712822 |
Business Fax Number: | |
Mailing Address: | Po Box 100, ST MICHAELS |
State: | AZ |
Postal Code: | 865110100 |
Phone Number: | 9288712822 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | ED ID 2721198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |