Healthcare Provider Details

I. General information

NPI: 1700346533
Provider Name (Legal Business Name): AYNSLEY DANIELLE BABINSKI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR STE 137
GILBERT AZ
85295-1681
US

IV. Provider business mailing address

2730 S VAL VISTA DR STE 137
GILBERT AZ
85295-1681
US

V. Phone/Fax

Practice location:
  • Phone: 480-505-3838
  • Fax:
Mailing address:
  • Phone: 480-505-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: