Provider Demographics
NPI:1164565040
Name:PALADINO, JODE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JODE
Middle Name:
Last Name:PALADINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-2246
Mailing Address - Country:US
Mailing Address - Phone:480-484-8709
Mailing Address - Fax:480-484-8701
Practice Address - Street 1:8801 N 56TH ST
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-2246
Practice Address - Country:US
Practice Address - Phone:480-484-8709
Practice Address - Fax:480-484-8701
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool