Gayle Gozdor, Ph.D. P.C.

LBN: Gayle Gozdor, Ph.D. P.C.
Gayle Gozdor, Ph.D. P.C. is an health care organization with primary practice located at 2881 Monroe St Suite 201C, Dearborn MI 48124-3475. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Gayle Gozdor, Ph.D. P.C. can be contacted via phone (313) 730-2077, or through Gozdor, Gayle Ann via phone (313) 730-2077.

Contact Information

Primary practice address
2881 Monroe St Suite 201C Dearborn MI 48124-3475
Phone: (313) 730-2077
Fax: (248) 562-7719
Website:
Map and Directions
Authorized official contact:
Name: Gozdor, Gayle Ann PH.D.
Phone: (313) 730-2077

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301007615 Michigan

Profile Details

NPI number 1407026115
LBN Legal business name Gayle Gozdor, Ph.D. P.C.
DBA Doing business as
Authorized official Gozdor, Gayle Ann PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2008
Last updated Sep 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407026115 NPPES
Michigan Other 0F30675 BLUE CROSS BLUE SHIELD

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