Provider Demographics
NPI:1922290204
Name:TSOSIE, ALVINA JEAN (M ED)
Entity Type:Individual
Prefix:MRS
First Name:ALVINA
Middle Name:JEAN
Last Name:TSOSIE
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 40
Mailing Address - Street 2:
Mailing Address - City:TEEC NOS POS
Mailing Address - State:AZ
Mailing Address - Zip Code:86514-9600
Mailing Address - Country:US
Mailing Address - Phone:928-656-4188
Mailing Address - Fax:928-656-4178
Practice Address - Street 1:HC 61 BOX 40
Practice Address - Street 2:
Practice Address - City:TEEC NOS POS
Practice Address - State:AZ
Practice Address - Zip Code:86514-9600
Practice Address - Country:US
Practice Address - Phone:928-656-4188
Practice Address - Fax:928-656-4178
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ896459OtherAHCCCS