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DR. IRIS H SURETTE PHD

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346349149

Individual Registrant:
DR. IRIS H SURETTE PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
805 E FREMONT TOMBSTONE UNIFIED SCHOOL DIST TOMBSTONE, AZ 85638 US
Tel: 520-456-9842  Fax: 520-457-3720

Contact information for business:
HC 1 BOX 655  ELGIN, AZ 85611 US
Tel: 520-456-9799  Fax: 520-456-1703

Registration Information:
NPI: 1346349149
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
AZ

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
620220AZ05




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