Gillock, Karen Lee

Gillock, Karen Lee is an sole proprietor health care provider with primary practice located at 115 Etna Rd Building 1, Suite 2, Lebanon NH 03766-1429. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gillock, Karen Lee can be contacted via phone (603) 448-3588.

Contact Information

Primary practice address
115 Etna Rd Building 1, Suite 2 Lebanon NH 03766-1429
Phone: (603) 448-3588
Fax: (603) 448-3583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 943 New Hampshire

Profile Details

NPI number 1518035005
LBN Legal business name Gillock, Karen Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Mar 31st, 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 1518035005 NPPES
Vermont Other 1008149 MEDICAID
Vermont MEDICAID 30421560 MEDICAID

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