Gilmore, Martha Louise

Gilmore, Martha Louise is an sole proprietor health care provider with primary practice located at 1621 Oak Ave Ste B, Davis CA 95616-1000. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gilmore, Martha Louise can be contacted via phone (530) 757-6861.

Contact Information

Primary practice address
1621 Oak Ave Ste B Davis CA 95616-1000
Phone: (530) 757-6861
Fax: (530) 753-0636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10451 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10451 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY10451 California

Profile Details

NPI number 1679684575
LBN Legal business name Gilmore, Martha Louise
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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