Individual
CHUN TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
NOT APPLICABLE
—
Enumeration date
05/17/2019
Last updated
01/12/2022
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