Ms Maryrose Trongco Gandeza, is a
Psychologist - School based in Fort Deliance, Arizona. Ms Maryrose Trongco Gandeza is licensed to practice in Arizona (license number ) and her current practice location is
Navajo Route 12, Window Rock Unified School District, Fort Deliance, Arizona. She can be reached at her office (for appointments etc.) via phone at
(920) 729-6768.
NPI number for Ms Maryrose Trongco Gandeza is 1649475211 and her current mailing address is Po Box 2814, Fort Defiance, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649475211.
Healthcare Provider's Profile
| Full Name | Ms Maryrose Trongco Gandeza |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | Navajo Route 12, Fort Deliance, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649475211
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 07/26/2007
Medical Identifiers
Medical identifiers for Ms Maryrose Trongco Gandeza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649475211 | NPI | - | NPPES |
| 889454 | Other | AZ | AHCCCS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Maryrose Trongco Gandeza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Maryrose Trongco Gandeza,
Po Box 2814,
Fort Defiance, AZ 86504
Ph: (928) 729-5045 | Ms Maryrose Trongco Gandeza,
Navajo Route 12, Window Rock Unified School District,
Fort Deliance, AZ 86504
Ph: (920) 729-6768 |
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