Individual
DR. BRYAN GASTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS018947
PA
103T00000X
Psychologist
Primary
PSY-005446
AZ
Other
Enumeration date
05/20/2019
Last updated
01/09/2025
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