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SHAWN D GALE PHD

Clinical Neuropsychologist

Phoenix, Arizona

Provider NPI: 1396855367

Provider Information:
 SHAWN D GALE PHD
Gender: M
Not Sole Proprietor

Practice Location:
222 W THOMAS RD SUITE 315 PHOENIX, AZ 85013 US
Tel: 602-406-3671  Fax: 602-406-6115

Business Mailing Address:
3200 N CENTRAL AVE SUITE 900 PHOENIX, AZ 85012 US
Tel: 602-406-3729  Fax: 602-798-9412

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ3515

Other Provider Identifiers:

IssuerNumberStateType
724460AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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