Provider Demographics
NPI:1972769602
Name:GINDT, KATHY S
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:S
Last Name:GINDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18424 N 51ST AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1443
Mailing Address - Country:US
Mailing Address - Phone:602-467-6701
Mailing Address - Fax:602-467-6780
Practice Address - Street 1:18424 N 51ST AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1443
Practice Address - Country:US
Practice Address - Phone:602-467-6701
Practice Address - Fax:602-467-6780
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool