Individual
DR. CHRISTINE ERIN TETZLOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
814 N BEELINE HWY, SUITE I, PAYSON, AZ 85541
(928) 472-8323
(928) 468-1447
Mailing address
PO BOX 264, PAYSON, AZ 85547-0264
(928) 472-8323
(928) 468-1447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1047955
CIGNA BEHAVIORAL HEALTH
—
01
—
1254300007
ARIZONA BIODYNE
—
01
—
183606
MANAGED HEALTH NETWORK
—
05
—
612475
—
AZ
01
—
6179573
UNITED BEHAVIORAL HEALTH
—
01
—
AZ0615210
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/10/2006
Last updated
07/09/2007
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