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Contact Information

KYLE E BADMAN
7219 N LITCHFIELD RD
GLENDALE, AZ85309-1529
 Phone: 623-856-7579
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KYLE E BADMAN · (Male)

NPI Number 1184219701
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2021
Last updated 06/13/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0810008676
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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