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NPI Code Detail

MEDICARE: DR. STEVEN GASKELL PSY.D.

MEDICARE:  DR. STEVEN  GASKELL  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist071.006877IL
2103TC0700XClinical Psychologist071.006877IL
3103TF0200XForensic Psychologist071.006877IL
4103TH0100XHealth Service Psychologist071.006877IL

General Provider Information

NPI Number : 1730409368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN GASKELL PSY.D.
Provider Business Mailing Address
First Line : 13400 S ROUTE 59
Second Line : SUITE 116, #286
City : PLAINFIELD
State : IL
Zip : 60585-5826
Country : US
Telephone Number : 630-903-9193
Fax Number :
Provider Business Practice Location Address
First Line : 2135 CITY GATE LN
Second Line : SUITE 300
City : NAPERVILLE
State : IL
Zip : 60563-3081
Country : US
Telephone Number : 630-780-1085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2010
Last Update Date : 06/05/2010

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