Provider Demographics
NPI:1407617830
Name:ORO VALLEY PSYCHIATRIC SERVICES
Entity Type:Organization
Organization Name:ORO VALLEY PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:DR
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ISOTALO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:520-386-5646
Mailing Address - Street 1:6812 N ORACLE RD STE 124
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4256
Mailing Address - Country:US
Mailing Address - Phone:520-386-5646
Mailing Address - Fax:520-412-3237
Practice Address - Street 1:6812 N ORACLE RD STE 124
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4256
Practice Address - Country:US
Practice Address - Phone:520-386-5646
Practice Address - Fax:520-412-3237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty