Gayle, Catherine
Gayle, Catherine is an individual health care provider with primary practice located at 111B Corporate Park East Dr , Lagrange GA 30241-3680. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gayle, Catherine can be contacted via phone (706) 884-1080.Contact Information
Primary practice address
111B Corporate Park East Dr
Lagrange GA 30241-3680
Phone: (706) 884-1080
Fax: (706) 812-8866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW002414 | Georgia |
Profile Details
| NPI number | 1407017072 |
|---|---|
| LBN Legal business name | Gayle, Catherine |
| Credentials | PHD LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Jun 17th, 2008 - about 16 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 | 1407017072 | NPPES |
| Georgia | MEDICAID | 514073675A |
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