Tanis, Paula R
Tanis, Paula R is an individual health care provider with primary practice located at 6301 S. Mcclintock Dr. #215 Kirsten Sorensen, Tempe AZ 85283. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tanis, Paula R can be contacted via phone (480) 820-6657.Contact Information
Primary practice address
6301 S. Mcclintock Dr. #215 Kirsten Sorensen
Tempe AZ 85283
Phone: (480) 820-6657
Fax: (480) 730-0803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC10831 | Arkansas |
Profile Details
| NPI number | 1558366559 |
|---|---|
| LBN Legal business name | Tanis, Paula R |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558366559 | NPPES |
| Arizona | MEDICAID | 916215 |
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