Gamble, Robert Edward

Gamble, Robert Edward is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gamble, Robert Edward can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002886 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801012516 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301002279 Michigan

Profile Details

NPI number 1780668111
LBN Legal business name Gamble, Robert Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 6th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780668111 NPPES
Michigan Other 6801012516 SOCIAL WORKER LICENSE
Michigan Other PSY002886 SOCIAL WORKER LICENSE
Michigan Other 6301002279 SOCIAL WORKER LICENSE

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