Drake, Gwendolyn Renee
Drake, Gwendolyn Renee is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Drake, Gwendolyn Renee can be contacted via phone (757) 395-0842.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (757) 395-0842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810004452 | Virginia |
Profile Details
| NPI number | 1871859066 |
|---|---|
| LBN Legal business name | Drake, Gwendolyn Renee |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2012 |
| Last updated | Oct 18th, 2018 - about 6 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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