Individual
KELLY PAOLISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUCSON, AZ 85706
(520) 545-2137
(520) 545-2120
Mailing address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUCSON, AZ 95706
(520) 545-2137
(520) 545-2120
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
290846347
AZ
225100000X
Physical Therapist
Primary
10640PT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875966
—
AZ
Enumeration date
01/16/2007
Last updated
10/29/2015
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