Organization · Type 2 NPI

Recovia LLC

Clinical Psychologist · Tucson, AZ

NPI number 1053035774 Active

Practice location

6400 E Grant Rd Ste 170
Tucson, AZ 85715-3800

Fax (602) 428-7045

Mailing address

PO Box 20216
Phoenix, AZ 85036-0216

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Psychiatric/Mental Health Registered Nurse 163WP0808XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Physical Therapist 225100000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1053035774

Recovia LLC's National Provider Identifier is 1053035774, issued on Sep 27, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tucson, AZ. The record was last updated on Jul 24, 2026.