Myra Lynn Wolfley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10955 Issued in AZ

Practice address

18202 N 35TH Dr
Glendale, AZ 85308-2405

Phone

(602) 439-4390

Fax

(602) 439-4390

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Myra Lynn Dermyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1043464530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18202 N 35TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082405",
            "telephone_number": "602-439-4390",
            "fax_number": "602-439-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18202 N 35TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082405",
            "telephone_number": "602-439-4390",
            "fax_number": "602-439-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFLEY",
        "first_name": "MYRA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "10955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "DERMYER",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanne Patricia Witter, PHD, LPC, LISAC
• Gwen Annette Wodiuk, DNP, F.N.P.
• Carl William Woerner, DC
• Kamrie E Wolf, PA-C
• Lori Kaye Wolf, OTR/L CHT
• Corey Scott Wolter, MS NCC LPC
• Aletheia R L Wong, O.D.
• Amy Wong, D.D.S.
• Gilbert G. Wong, O.D.
• Harry Wong, PT, DPT

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.