Provider Demographics
NPI:1598949117
Name:TARTAGLINI, ALDO JOSEPH (PHD)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:JOSEPH
Last Name:TARTAGLINI
Suffix:
Gender:M
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:PO BOX 1674
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80901-1674
Mailing Address - Country:US
Mailing Address - Phone:719-444-7434
Mailing Address - Fax:
Practice Address - Street 1:705 S NEVADA AVE
Practice Address - Street 2:RM. # 4203
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4027
Practice Address - Country:US
Practice Address - Phone:719-444-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical