Gaylord, Ann M

Gaylord, Ann M is an individual health care provider with primary practice located at 444 N Westhill Blvd , Appleton WI 54914-5715. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gaylord, Ann M can be contacted via phone (920) 750-7000.

Contact Information

Primary practice address
444 N Westhill Blvd Appleton WI 54914-5715
Phone: (920) 750-7000
Fax: (920) 364-2451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 482-124 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 482-124 Wisconsin

Profile Details

NPI number 1609943364
LBN Legal business name Gaylord, Ann M
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 29th, 2017 - about 7 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 1609943364 NPPES
Wisconsin MEDICAID 39707500

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