Provider Demographics
NPI:1447591805
Name:CATALINA FOOTHILLS PEDIATRIC PSYCHIATRY
Entity Type:Organization
Organization Name:CATALINA FOOTHILLS PEDIATRIC PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEIBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-623-9833
Mailing Address - Street 1:2200 E RIVER RD STE 121
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6579
Mailing Address - Country:US
Mailing Address - Phone:520-577-0081
Mailing Address - Fax:
Practice Address - Street 1:2200 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6514
Practice Address - Country:US
Practice Address - Phone:520-577-0081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health