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Individual

DR. LAURA MARIE WENDLANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5859 W TALAVI BLVD STE 180, GLENDALE, AZ 85306-1873
(602) 560-2836
(317) 520-8200
Mailing address
40438 N KENNEDY DR, SAN TAN VALLEY, AZ 85140-9866
(406) 697-1040

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
382
MT
103T00000X
Psychologist
PY0401
NV
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
PSY-004631
AZ
103TH0100X
Health Service Psychologist

Other

Enumeration date
07/16/2009
Last updated
08/13/2020
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