Provider Demographics
NPI:1346385721
Name:PIES, GAY SHARON (EDD)
Entity Type:Individual
Prefix:DR
First Name:GAY
Middle Name:SHARON
Last Name:PIES
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:GAY
Other - Middle Name:SHARON
Other - Last Name:SCHWABALLER PIES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD
Mailing Address - Street 1:8687 E VIA DE VENTURA
Mailing Address - Street 2:318
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3347
Mailing Address - Country:US
Mailing Address - Phone:480-905-8755
Mailing Address - Fax:480-905-8851
Practice Address - Street 1:8687 E VIA DE VENTURA
Practice Address - Street 2:318
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3347
Practice Address - Country:US
Practice Address - Phone:480-905-8755
Practice Address - Fax:480-905-8851
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3128103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZEDD3128AMedicare ID - Type Unspecified