Provider Demographics
NPI:1033483821
Name:ARDITTI, THOMAS YVES
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:YVES
Last Name:ARDITTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5416
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79954-5416
Mailing Address - Country:US
Mailing Address - Phone:915-474-9465
Mailing Address - Fax:
Practice Address - Street 1:907 CINCINNATI AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2435
Practice Address - Country:US
Practice Address - Phone:915-474-9465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst