L'ETOILE DE LE NORD, INC.


Address: 37 E Speedway Blvd, Tucson, AZ 85705-7714
Phone: 5204401744

L'ETOILE DE LE NORD, INC. (NPI# 1700082849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700082849
Entity Type Organization
Organization Name L'ETOILE DE LE NORD, INC.
Other Organization Name JILL M. PLEVELL, PH.D.
Practice Address 37 E Speedway Blvd
Tucson
AZ 85705-7714
Mailing Address 7440 N Bogert Pl
Tucson
AZ 85741-1655
Practice Telephone 5204401744
Mailing Telephone 5204401744
Enumeration Date 2007-06-25
Last Update Date 2020-08-22
Authorized Official Name DR. JILL MARIE PLEVELL (PRESIDENT)
Authorized Official Telephone 5204401744
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1957 AZ Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Jill M. Plevell, Ph.D. Doing Business As Name - Organization

Office Location

Street Address 37 E SPEEDWAY BLVD
City TUCSON
State AZ
Zip Code 85705-7714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003064908 Jon Howard Mccaine Psychologist 37 E Speedway Blvd, Tucson, AZ 85705-7714 2008-09-04

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1932457553 Pamela A Williamson Registered Nurse 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 2012-08-29
1104136571 Charles Tyler Upton Counselor 721 N. Fourth Ave, Tucson, AZ 85705 2010-10-19
1851629844 Francisco Antonio Sanchez Psychologist 504 E. Speedway Blvd, Tucson, AZ 85705 2009-12-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1164031100 Karina Fleming Psychologist 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 2020-07-27
1063043776 John R. Corbett Psychologist 4421 E Havasu Rd, Tucson, AZ 85718-2519 2020-01-31
1649813635 Ishani Ravindra Deo Psychologist 1051 E Mabel St, Tucson, AZ 85719 2019-10-22
1992262984 Joel Gaffney Psychologist Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 2019-02-26
1326541905 Anne Markey Bowen Psychologist 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 2018-03-09
1629595210 Caroline Pyevich Psychologist 7743 E Cleary Way, Tucson, AZ 85715-3734 2017-08-24
1023460235 Emily Tudor Strang Psychologist 2525 E Broadway Blvd, Tucson, AZ 85716-5398 2016-07-12
1730563115 Joseph Benach Psychologist 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 2015-07-15
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Competitor

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City TUCSON
Zip Code 85705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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