Dr. Glenn David Tanita, DMH
Dr. Glenn David Tanita, DMH is a Clinical Psychologist in Sierra Vista, Arizona. Qualified in 1985, 41 years ago. Practices with Chiricahua Community Health Centers Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 41
- Licensed in
- AZ
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
77 Calle Portal Ste C240Sierra Vista, AZ 85635-2986
Phone: (520) 459-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 1249 (AZ) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence PSY-001249 (AZ) |
Record details
| NPI number | 1669632006 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMH |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2008 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1985 (41 years in practice) |
| Group practice | Chiricahua Community Health Centers Inc — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Sierra Vista
-
Kerstin P. Hurley, PHD
155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 · (520) 459-3011
-
Dr. Casi Ellis Ruffo, EDD
3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 · (520) 515-2790