Provider Demographics
NPI:1962063339
Name:ZOCHOWSKI-TULLIO, MICHELLE CATHERINE (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:CATHERINE
Last Name:ZOCHOWSKI-TULLIO
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:CATHERINE
Other - Last Name:ZOCHOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8687 W SAHARA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5869
Mailing Address - Country:US
Mailing Address - Phone:702-867-8877
Mailing Address - Fax:
Practice Address - Street 1:8687 W SAHARA AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5869
Practice Address - Country:US
Practice Address - Phone:702-830-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY1019103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist