Iris H Surette, PHD
Individual provider Active NPI School Psychologist · Tombstone, AZ
NPI 1346349149 · NPPES record last updated Jul 26, 2007
Key facts
- NPI
- 1346349149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 805 E Fremont
Tombstone Unified School Dist
Tombstone, AZ 85638 - Phone
- (520) 456-9842
- Fax
- (520) 457-3720
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Yes |
Addresses
Primary practice location
805 E Fremont
Tombstone Unified School Dist
Tombstone, AZ 85638
Mailing address
HC 1 Box 655
Elgin, AZ 85611
Phone (520) 456-9799
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620220 | Medicaid | AZ |
Other providers in Tombstone, AZ
- Christina K Heinemann
- Dwayne Allen Kruse
- Sharon Ileen Milligan
- RCHP-Sierra Vista Inc
- Jonathan Adin Sinnott
- Territorial Drug Co Inc
- Tombstone Unified School District #1
- Brenda Denise Trejo
All providers in Tombstone, AZ · School Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.