Individual
DR. BRYAN GASTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1222 W BASELINE RD UNIT 154, TEMPE, AZ 85283-5967
(480) 524-0990
(480) 436-6720
Mailing address
1222 W BASELINE RD UNIT 154, TEMPE, AZ 85283-5967
(301) 471-6944
(480) 436-6720
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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