| John C Titone Phd Pc | |
|
5425 N Oracle Rd Ste 115 Tucson AZ 85704-3890 | |
| (520) 742-9166 | |
| (520) 742-9146 |
| Full Name | John C Titone Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5425 N Oracle Rd Ste 115, Tucson, Arizona |
| Authorized Official Name and Position | John C Titone (PSYCHOLOGIST) |
| Authorized Official Contact | 5207429166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Titone Phd Pc 5425 N Oracle Rd Ste 115 Tucson AZ 85704-3890 Ph: (520) 742-9166 | John C Titone Phd Pc 5425 N Oracle Rd Ste 115 Tucson AZ 85704-3890 Ph: (520) 742-9166 |
| NPI Number | 1669529079 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 4981692381 |
|---|---|
| Medicare Enrollment ID | O20040504001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669529079 | NPI | - | NPPES |
| 1510 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1510 (Arizona) | Primary |
| Provider Name | John C Titone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174542880 PECOS PAC ID: 5597753905 Enrollment ID: I20040505000111 |
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