1730316746 NPI number — DENNIS W NOONAN LCSW

Table of content: DENNIS W NOONAN LCSW (NPI 1730316746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730316746 NPI number — DENNIS W NOONAN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOONAN
Provider First Name:
DENNIS
Provider Middle Name:
W
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730316746
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2525 E BROADWAY BLVD
Provider Second Line Business Mailing Address:
#100
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85716-5398
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-791-2711
Provider Business Mailing Address Fax Number:
520-791-2202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1475 N ORACLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85705-7236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-624-5806
Provider Business Practice Location Address Fax Number:
520-624-5817
Provider Enumeration Date:
06/17/2009

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: 1041C0700X , with the licence number:  LCSW-0851 , 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)

  • Identifier: 750986 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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