Bromberg, Gayle
Bromberg, Gayle is an individual health care provider with primary practice located at 170 Thomas Johnson Dr Ste 210, Frederick MD 21702-4354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bromberg, Gayle can be contacted via phone (301) 695-8390.Contact Information
Primary practice address
170 Thomas Johnson Dr Ste 210
Frederick MD 21702-4354
Phone: (301) 695-8390
Fax: (301) 694-7906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 04118 | Maryland |
Profile Details
| NPI number | 1235131293 |
|---|---|
| LBN Legal business name | Bromberg, Gayle |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235131293 | NPPES |
| Maryland | Other | 239102 | MAMSI |
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