DR. GALE W. WYMAN (NPI# 1346468345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346468345 |
| Entity Type | Individual |
| Full Name | DR. GALE W. WYMAN |
| Credential | ED.D. |
| Practice Address |
4650 W. Sweetwater Glendale AZ 85304 |
| Practice Telephone | 6023472600 |
| Mailing Telephone | 6023472600 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCS | 624199 | 01 |
| Street Address |
4650 W. SWEETWATER |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659494649 | Susan Elizabeth Johnson | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85304 | 2007-04-06 |
| 1285847335 | Cathy Lynn Martinez | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85304-1505 | 2007-05-07 |
| 1538371224 | Sheri Lynn Craver | Physical Therapist | 4650 W. Sweetwater, Glendale, AZ 85304 | 2007-05-04 |
| 1194937029 | Jose Griego | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85304-1505 | 2007-05-04 |
| 1386866929 | Larry J Pristo | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85304-1505 | 2007-05-03 |
| 1013137900 | Katherine Ann Kennedy | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85304 | 2007-04-26 |
| 1225252695 | Shelly Franks | Speech-Language Pathologist | 4650 W. Sweetwater, Glendale, AZ 85304 | 2007-04-13 |
| 1386868958 | Constance L Sellers | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85034 | 2007-04-12 |
| 1245454958 | Sue Ellen Blakemore | Speech-Language Pathologist | 4650 W. Sweetwater, Glendale, AZ 85304 | 2007-04-12 |
| 1245353630 | Korri Redpath-carollo | Local Education Agency (LEA) | 4650 W. Sweetwater, Glendale, AZ 85302 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
| 1609209113 | Jonathan Charles Hayes | Psychologist | 3535 Clifton Glendale Rd., Glendale, SC 29346-0267 | 2013-08-20 |
| 1417395310 | Shannon Belouin | Psychologist | 3535 Clifton Glendale Road, Glendale, SC 29346 | 2013-06-13 |
| 1902186505 | Delphina Cyrus Irani | Psychologist | 7701 W Saint John Rd, #2077, Glendale, AZ 85308-8608 | 2011-08-26 |
| 1144484387 | Amanda Jo Hardin | Psychologist | 4801 W El Caminito Dr, Glendale, AZ 85302-6414 | 2008-07-16 |
| 1013101005 | Andrea J. Sandman | Psychologist | 5807 W Shangri La Rd, Glendale, AZ 85304-3819 | 2007-09-01 |
| 1528259876 | Guillermo E. Blanco | Psychologist | 5525 W Eugie Ave, Glendale, AZ 85304-1231 | 2007-08-01 |
| 1124225198 | Seri Annette Smith | Psychologist | 23305 N 70th Ln, Glendale, AZ 85310-5858 | 2007-07-02 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| 1134340714 | Lori Anne Wilson | Psychologist | 6602 N. 75th Ave, Glendale, AZ 85303-3536 | 2007-05-01 |
| Find all providers in GLENDALE | ||||
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| 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.