Provider Demographics
NPI:1336953033
Name:TAUER, AZALEA MARIA
Entity type:Individual
Prefix:MS
First Name:AZALEA
Middle Name:MARIA
Last Name:TAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1272 CENTER COURT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-3667
Mailing Address - Country:US
Mailing Address - Phone:626-736-1422
Mailing Address - Fax:
Practice Address - Street 1:1272 CENTER COURT DR STE 101
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3667
Practice Address - Country:US
Practice Address - Phone:626-736-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty