Gay, Mary H

Gay, Mary H is an individual health care provider with primary practice located at 2460 Potters Rd , Virginia Beach VA 23454-4322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gay, Mary H can be contacted via phone (757) 456-1697.

Contact Information

Primary practice address
2460 Potters Rd Virginia Beach VA 23454-4322
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002070 Virginia

Profile Details

NPI number 1497754113
LBN Legal business name Gay, Mary H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 25th, 2009 - about 15 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 1497754113 NPPES
Virginia Other 003755 VALUE OPTIONS
Virginia Other 132215 VALUE OPTIONS
Virginia Other 3080747 VALUE OPTIONS
Virginia Other O85422 VALUE OPTIONS
Virginia Other 137760 VALUE OPTIONS
Virginia Other 132215 VALUE OPTIONS
Virginia MEDICAID 8901112 VALUE OPTIONS
Virginia Other 208793000 VALUE OPTIONS

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