Wyman, Gale W.

Wyman, Gale W. is an sole proprietor health care provider with primary practice located at 4650 W. Sweetwater , Glendale AZ 85304. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Wyman, Gale W. can be contacted via phone (602) 347-2600.

Contact Information

Primary practice address
4650 W. Sweetwater Glendale AZ 85304
Phone: (602) 347-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1346468345
LBN Legal business name Wyman, Gale W.
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1346468345 NPPES
Arizona Other 624199 AHCCS

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