Lester Adams Gallivan
Psychiatry & Neurology, Neurodevelopmental Disabilities in Phoenix, AZ. Individual provider (NPI-1).
NPI number1437787934
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1437787934
- Entity type
- Individual (NPI-1)
- Name
- Lester Adams Gallivan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology, Neurodevelopmental Disabilities | 80484 | AZ | Yes |
Practice location
1919 E Thomas RdPhoenix, AZ 85016-7710
Phone 602-933-0970 · Fax 602-933-4253
Mailing address
2108 E Thomas RdPhoenix, AZ 85016-7761
Phone 602-933-3124
Other practice locations
500 S Preston St Rm 113
Louisville, KY 40202-1702
Louisville, KY 40202-1702
Phone 502-852-4277
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