Chamberlain, Walter Gillican

Chamberlain, Walter Gillican is an individual health care provider with primary practice located at 2415 17Th St , Gulfport MS 39501-2906. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Chamberlain, Walter Gillican can be contacted via phone (228) 701-0085.

Contact Information

Primary practice address
2415 17Th St Gulfport MS 39501-2906
Phone: (228) 701-0085
Fax: (220) 701-0054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9380
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1548 Mississippi

Profile Details

NPI number 1679762082
LBN Legal business name Chamberlain, Walter Gillican
Credentials M.ED, LPC, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Nov 2nd, 2012 - about 14 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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