Provider Demographics
NPI:1033484456
Name:WINGERS, LAURA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:WINGERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6902 E 1ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5347
Mailing Address - Country:US
Mailing Address - Phone:602-734-0194
Mailing Address - Fax:480-289-5751
Practice Address - Street 1:8585 E BELL RD
Practice Address - Street 2:SUITE 100A
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1303
Practice Address - Country:US
Practice Address - Phone:602-957-7600
Practice Address - Fax:480-289-5751
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4273103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical