Provider Demographics
NPI:1386690410
Name:CONROY, NOREEN B
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:B
Last Name:CONROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 E HAYHURST ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1629
Mailing Address - Country:US
Mailing Address - Phone:520-603-4538
Mailing Address - Fax:520-319-8456
Practice Address - Street 1:1181 N EL DORADO PL
Practice Address - Street 2:SUITE 311
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4600
Practice Address - Country:US
Practice Address - Phone:520-603-4538
Practice Address - Fax:520-319-8456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILCRC C043122101Y00000X
AZLISAC 10322101YA0400X
AZLPC 11589101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health