ANGELA THERESA CORDOVA (NPI# 1750873485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750873485 |
| Entity Type | Individual |
| Full Name | ANGELA THERESA CORDOVA |
| Credential | MA ED |
| Practice Address |
17100 E Shea Blvd Ste 600 Fountain Hills AZ 85268-6663 |
| Practice Telephone | 4808374565 |
| Practice Fax Number | 8889578277 |
| Mailing Telephone | 4808374565 |
| Mailing Fax Number | 8889578277 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| Street Address |
17100 E SHEA BLVD STE 600 |
| City | FOUNTAIN HILLS |
| State | AZ |
| Zip Code | 85268-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710240585 | Kathleen A Carroll | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 | 2012-06-18 |
| 1881204253 | Lauren Reaves | Counselor | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-07-31 |
| 1679182067 | James Anthony Boesch | Occupational Therapy Assistant | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-07-30 |
| 1528676442 | Courtney Garcia | Psychologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-07-16 |
| 1235756487 | Megan Thompson | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-07-02 |
| 1194340273 | Whitney Wright | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-06-14 |
| 1811511900 | Audrey Allen | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-06-03 |
| 1881217164 | Shaquetta Keira Williams | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-05-21 |
| 1558984112 | Sarah Cretcher | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-05-18 |
| 1063034726 | Brielle Elise Henne | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948432 | Michael James Sivak IIi | Licensed Practical Nurse | 16100 E Palisades Blvd, Fountain Hills, AZ 85268 | 2016-09-01 |
| 1346793494 | Allyn Louise Krieger-fiedler | Naturopath | 16425 East Inca Ave, Fountain Hills, AZ 85268 | 2016-07-25 |
| 1013316140 | Paul Knott | Pharmacist | 16545 East Palisades Boulvard, Fountain Hills, AZ 85268 | 2014-08-14 |
| 1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
| 1821345810 | Sherry Anne Garst | Student in an Organized Health Care Education/Training Program | 17100 E. Shea Blvd, Suite. #225, Fountain Hills, AZ 85268 | 2012-08-08 |
| 1972881266 | Ivy Joan Medow | Occupational Therapy Assistant | 17100 E. Shea Blvd., Stars, Fountain Hills, AZ 85268 | 2011-08-03 |
| 1710270871 | Stephanie Virginia Cochran | Speech-Language Pathologist | 17100 E Shea Blvd #225, Fountain Hills, AZ 85268 | 2011-05-24 |
| 1750697884 | Lanzon Medical Consulting | Nursing Care | 13771 N. Fountain Hills Blvd, #114, Fountain Hills, AZ 85268 | 2010-08-26 |
| 1790928414 | Kathryn Mary Montgomery | Specialist/Technologist | 14825 N Fayette Dr, Fountain Hills, AZ 85268 | 2009-04-10 |
| 1992941074 | Statclinix Plc | Clinic/Center | 17225 E. Shea Blvd., #104, 105, Fountain Hills, AZ 85268 | 2008-12-19 |
| Find all providers in zip 85268 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
| 1528676442 | Courtney Garcia | Psychologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2020-07-16 |
| 1093376204 | Angela Cole | Psychologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2019-06-27 |
| 1548747116 | Melissa Vega | Psychologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | 2018-07-25 |
| 1225401938 | Paul Gibson | Psychologist | 17100 E Shea Blvd, Suite 225, Fountain Hills, AZ 85268-6625 | 2015-11-03 |
| 1366676504 | Shawna Elisa Williamson | Psychologist | 17100 E Shea Blvd, Suite 225, Fountain Hills, AZ 85268-6625 | 2009-05-02 |
| 1376708925 | David L Rheuark | Psychologist | 16428 E Kingstree Blvd, Fountain Hills, AZ 85268-5440 | 2008-07-23 |
| 1518122027 | Cynthia Joy Speights | Psychologist | 16428 E Kingstree Blvd, Fountain Hills, AZ 85268-5440 | 2008-07-23 |
| 1821284472 | Jennifer Lynn Distler | Psychologist | 16428 E Kingstree Blvd, Fountain Hills, AZ 85268-5440 | 2007-09-18 |
| 1346461076 | Steven Reiff | Psychologist | 16000 E Palisades Blvd, Fountain Hills, AZ 85268-3131 | 2007-05-01 |
| Find all providers in FOUNTAIN HILLS | ||||
| City | FOUNTAIN HILLS |
| Zip Code | 85268 |
Please comment or provide details below to improve the information on ANGELA THERESA CORDOVA.
| 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.