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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558366559 NPPES
Arizona MEDICAID 916215

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