Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN DAVID TANITA, D.M.H.
Active Sole ProprietorDR. GLENN DAVID TANITA, D.M.H. is a Psychologist healthcare provider located in SIERRA VISTA, Arizona. NPI 1669632006 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SIERRA VISTA, AZ
Registration Details
- NPI Number
- 1669632006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2008 (18.158622067297 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
PSY-001249 (AZ)1249 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 CALLE PORTAL STE C240SIERRA VISTA, AZ, 856352986Browse AZ providers · Browse ZIP 85635
- Phone
- 5204593011
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in SIERRA VISTA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. CASI ELLIS RUFFO | ED.D. | 1568681021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.