Organization
UNIVERSITY OF ARIZONA DEPARTMENT OF PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE FELDMAN PH.D. (MENTOR PROGRAM DIRECTOR)
(520) 621-7448
Entity
Organization
Contact information
Practice address
1503 E UNIVERSITY BLVD, TUCSON, AZ 85721-0001
(520) 621-7448
(520) 621-9306
Mailing address
1503 E UNIVERSITY BLVD, TUCSON, AZ 85721-0001
(520) 621-7448
(520) 621-9306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSA05ADHS0113
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740565
—
AZ
Enumeration date
11/17/2006
Last updated
08/22/2020
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