Provider Demographics
NPI:1144897265
Name:BIGLER, LUKE THARIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:THARIN
Last Name:BIGLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 E. BASELINE ROAD SUITE E.222
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2689
Mailing Address - Country:US
Mailing Address - Phone:480-432-3567
Mailing Address - Fax:480-542-2648
Practice Address - Street 1:3651 E. BASELINE ROAD SUITE E.222
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2689
Practice Address - Country:US
Practice Address - Phone:480-432-3567
Practice Address - Fax:480-542-2648
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY.005436103TC0700X
AZPSY-005436103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical