Provider Demographics
NPI:1144346727
Name:DR.ZELDA HITTEL, P.C.
Entity type:Organization
Organization Name:DR.ZELDA HITTEL, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HITTEL, P.C.
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-831-8330
Mailing Address - Street 1:5249 N. 37TH PLACE
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-7532
Mailing Address - Country:US
Mailing Address - Phone:602-955-7094
Mailing Address - Fax:
Practice Address - Street 1:1050 E. SOUTHERN, SUITE A-1
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5403
Practice Address - Country:US
Practice Address - Phone:480-831-8330
Practice Address - Fax:480-894-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0465103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0131030OtherBLUE CROSS BLUE SHIELD
=========85282A002OtherTRIVEST