Individual
DEANNA MARIE PANSULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 E SOUTHERN AVE STE 109, MESA, AZ 85204-5227
(480) 809-6459
Mailing address
1855 E SOUTHERN AVE STE 109, MESA, AZ 85204-5227
(480) 809-6459
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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