Individual provider · Type 1 NPI

Glenn David Tanita, D.M.H.

Psychologist · Sierra Vista, AZ

NPI number 1669632006 Active

Practice location

77 Calle Portal Ste C240
Sierra Vista, AZ 85635-2986

Mailing address

1205 N F Ave
Douglas, AZ 85607-1920

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XPSY-001249 (AZ)
Psychologist Primary 103T00000X1249 (AZ)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1669632006

Glenn David Tanita, D.M.H.'s National Provider Identifier is 1669632006, issued on Jun 10, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Sierra Vista, AZ. The record was last updated on Feb 20, 2024.