Individual
DR. STEPHANIE A VITANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6615 N. SCOTTSDALE ROAD, SUITE 100, SCOTTSDALE, AZ 85250
(602) 391-4308
(480) 219-4605
Mailing address
6615 N. SCOTTSDALE ROAD, SUITE 100, SCOTTSDALE, AZ 85250
(602) 391-4308
(480) 219-4605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3425
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
3425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832007
ACCCHS NUMBER
AZ
Enumeration date
01/05/2007
Last updated
01/20/2017
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