Dr. Alev G Ildiz, PsyD
Psychologist, Clinical in Appleton, WI. Individual provider (NPI-1).
NPI number1164062782
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1164062782
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alev G Ildiz
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2020
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4065-57 | WI | Yes |
| 103TC0700X | Psychologist, Clinical | PSYC.PY.70089190 | WA | |
| 103TC0700X | Psychologist, Clinical | PY10320 | FL | |
| 103TC0700X | Psychologist, Clinical | 071.010024 | IL |
Practice location
2800 E Enterprise Ave Ste 333Appleton, WI 54913-7889
Phone 414-502-9023
Mailing address
8569 N Orchard CtSpokane, WA 99208-6954
Phone 414-502-9023
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