Individual
LYN ASHLEY GILDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4319 W BELL RD STE 4319, GLENDALE, AZ 85308-3530
(602) 888-0448
(844) 578-8867
Mailing address
4319 W BELL RD STE 4319, GLENDALE, AZ 85308-3530
(602) 888-0448
(844) 578-8867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4587
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017438
—
AZ
Enumeration date
10/05/2009
Last updated
08/17/2023
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