1942375001 NPI number — MRS. CLAUDIA SILVERI DICKSON COTAL

Table of content: MRS. CLAUDIA SILVERI DICKSON COTAL (NPI 1942375001)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942375001 NPI number — MRS. CLAUDIA SILVERI DICKSON COTAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DICKSON
Provider First Name:
CLAUDIA
Provider Middle Name:
SILVERI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
COTAL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SILVERI
Provider Other First Name:
CLAUDIA
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1942375001
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1802 W WICKIEUP LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-581-2247
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1025 N COUNTRY CLUB DR
Provider Second Line Business Practice Location Address:
MPS SPECIAL EDUCATION
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-472-0727
Provider Business Practice Location Address Fax Number:
480-472-0705
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  1459 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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