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Contact Information

CHRISTINE E TETZLOFF, PHD
814 N BEELINE HWY
SUITE I
PAYSON, AZ85541
 Phone: 928-472-8323
 Fax: 928-468-1447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHRISTINE E TETZLOFF · (Female)

NPI # 1265400618
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/10/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 1572
  • AZ Medicaid 612475
  • Other 1254300007 ARIZONA BIODYNE
  • Other 1047955 CIGNA BEHAVIORAL HEALTH
  • Other 183606 MANAGED HEALTH NETWORK
  • Other 6179573 UNITED BEHAVIORAL HEALTH
  • AZ Other AZ0615210 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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