Provider Demographics
NPI:1982355830
Name:TINTI, HALLI
Entity Type:Individual
Prefix:
First Name:HALLI
Middle Name:
Last Name:TINTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4179 E MAPLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-4911
Mailing Address - Country:US
Mailing Address - Phone:435-229-9568
Mailing Address - Fax:
Practice Address - Street 1:1697 E WILLIAMS FIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-6205
Practice Address - Country:US
Practice Address - Phone:480-282-8679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical