Anderson, Gayle Susan

Anderson, Gayle Susan is an individual health care provider with primary practice located at 2403 Professional Dr Suite 102, Santa Rosa CA 95403-3007. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Gayle Susan can be contacted via phone (707) 544-3295.

Contact Information

Primary practice address
2403 Professional Dr Suite 102 Santa Rosa CA 95403-3007
Phone: (707) 544-3295
Fax: (707) 544-9011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972784700
LBN Legal business name Anderson, Gayle Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Nov 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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