Provider Demographics
NPI:1760036826
Name:REHABILITATION PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:REHABILITATION PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ABPP
Authorized Official - Phone:520-367-8706
Mailing Address - Street 1:PO BOX 41061
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-1061
Mailing Address - Country:US
Mailing Address - Phone:520-367-8706
Mailing Address - Fax:
Practice Address - Street 1:6885 N ORACLE RD STE D
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4222
Practice Address - Country:US
Practice Address - Phone:520-367-8706
Practice Address - Fax:520-779-5216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty