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NPI Code Detail

MEDICARE: DR. KATHY MEGLER GILYARD PH.D.

MEDICARE:  DR. KATHY MEGLER GILYARD  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY8286FL

General Provider Information

NPI Number : 1831483528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHY MEGLER GILYARD PH.D.
Provider Business Mailing Address
First Line : 6624 SOUTHWIND DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-3237
Country : US
Telephone Number : 954-562-3549
Fax Number :
Provider Business Practice Location Address
First Line : 5005 N PIEDRAS ST
Second Line :
City : EL PASO
State : TX
Zip : 79920-5002
Country : US
Telephone Number : 915-742-1615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 01/10/2017

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