Provider Demographics
NPI:1063563278
Name:TUNING, PATRICIA S (PSYD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:TUNING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 S 8TH ST
Mailing Address - Street 2:ST. 500
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8910
Mailing Address - Country:US
Mailing Address - Phone:719-447-9517
Mailing Address - Fax:719-447-1475
Practice Address - Street 1:1765 S 8TH ST
Practice Address - Street 2:ST. 500
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8910
Practice Address - Country:US
Practice Address - Phone:719-447-9517
Practice Address - Fax:719-447-1475
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1642103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO073991Medicaid
CO073991Medicaid