Individual
DR. IRIS H SURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
805 E FREMONT, TOMBSTONE UNIFIED SCHOOL DIST, TOMBSTONE, AZ 85638
(520) 456-9842
(520) 457-3720
Mailing address
HC 1 BOX 655, ELGIN, AZ 85611
(520) 456-9799
(520) 456-1703
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620220
—
AZ
Enumeration date
09/21/2006
Last updated
07/26/2007
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