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Contact Information

LYNDA K VATERLAUS, PSYD
3602 E GREENWAY RD STE 102
PHOENIX, AZ85032-4648
 Phone: 602-560-2832
 Fax: 317-520-8200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LYNDA K VATERLAUS · (Female)

NPI Number 1154578938
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 08/22/2008
Last updated 05/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # PSY-004161
  • AZ Medicaid 620393
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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