Vaterlaus, Lynda Kristen

Vaterlaus, Lynda Kristen is an individual health care provider with primary practice located at 3602 E Greenway Rd Ste 102 , Phoenix AZ 85032-4648. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Vaterlaus, Lynda Kristen can be contacted via phone (602) 560-2832.

Contact Information

Primary practice address
3602 E Greenway Rd Ste 102 Phoenix AZ 85032-4648
Phone: (602) 560-2832
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-004161 Arizona
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY-004161 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-004161 Arizona

Profile Details

NPI number 1154578938
LBN Legal business name Vaterlaus, Lynda Kristen
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated May 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154578938 NPPES
Arizona MEDICAID 620393

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