Provider Demographics
NPI:1073990164
Name:GILDAR, NATALIE (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:GILDAR
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 W THUNDERBIRD RD # 3051
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4900
Mailing Address - Country:US
Mailing Address - Phone:602-496-2316
Mailing Address - Fax:
Practice Address - Street 1:4701 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4900
Practice Address - Country:US
Practice Address - Phone:602-496-2316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist