Search › Arizona › 101YP2500X
Wayne Formica, MC LPC NCC
NPI 1134786965 · on the registry since 2019
Practice
- Address
- 4767 E Woodside Way
Gilbert, AZ 85297 - Phone
- (602) 561-5286
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona