Purdy, Gail J

Purdy, Gail J is an sole proprietor health care provider with primary practice located at 11842 W Waterway Dr , Homosassa FL 34448-7312. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Purdy, Gail J can be contacted via phone (352) 628-7611.

Contact Information

Primary practice address
11842 W Waterway Dr Homosassa FL 34448-7312
Phone: (352) 628-7611
Fax: (352) 628-7644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 5901 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 5901 Florida
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1174531420
LBN Legal business name Purdy, Gail J
Credentials PHD, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Apr 29th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174531420 NPPES
Florida MEDICAID 689827196

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