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Contact Information

IRIS H SURETTE, PHD
805 E FREMONT
TOMBSTONE UNIFIED SCHOOL DIST
TOMBSTONE, AZ85638
 Phone: 520-456-9842
 Fax: 520-457-3720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for IRIS H SURETTE · (Female)

NPI # 1346349149
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/21/2006
Last updated 07/26/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ Medicaid 620220
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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