Whalio Doctors

NPI 1972885267

Gerald Etsitty

Practitioner School Psychologist Page, AZ

Practice location

Address
500 South Navajo Drive, Page, AZ 86040
Phone
(928) 608-1505

Registered specialties

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 4389376 (AZ)

Registry record

NPI
1972885267
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2011
Record last updated
13 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.