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DEANNA MARIE PANSULLA NPI 1720723075


NPI Information

NPI: 1720723075
Provider Name: DEANNA MARIE PANSULLA
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1855 E SOUTHERN AVE STE 109
MESA, AZ
ZIP 85204
Phone: (480) 809-6459
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Deanna Marie Pansulla is an addiction (substance use disorder) psychologist in Mesa, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Deanna Marie Pansulla NPI is 1720723075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1855 E SOUTHERN AVE STE 109
MESA, AZ
ZIP 85204-227
Phone: (480) 809-6459

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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