Individual
RALPH HIGGINS WETMORE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1540 N TUCSON BLVD, TUCSON, AZ 85716-3423
(520) 881-6875
(520) 327-2298
Mailing address
1540 N TUCSON BLVD, TUCSON, AZ 85716-3423
(520) 881-6875
(520) 327-2298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1022
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115718
AHCCCS
AZ
01
—
AZ0133210
BC/BS PROVIDER NUMBER
AZ
Enumeration date
08/12/2006
Last updated
07/08/2007
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