Organization
TUCSON CENTRAL PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C VAN DOREN MD (CEO)
(520) 290-4533
Entity
Organization
Contact information
Practice address
2230 E SPEEDWAY BLVD, SUITE 100, TUCSON, AZ 85719-4727
(520) 290-4533
Mailing address
2230 E SPEEDWAY BLVD, SUITE 100, TUCSON, AZ 85719-4727
(520) 290-4533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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