Healthcare Provider Details

I. General information

NPI: 1508025461
Provider Name (Legal Business Name): GAIL GILLESPIE & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 E 8TH ST
CROWLEY LA
70526-3815
US

IV. Provider business mailing address

703 E 8TH ST
CROWLEY LA
70526-3815
US

V. Phone/Fax

Practice location:
  • Phone: 337-788-1071
  • Fax: 337-788-1083
Mailing address:
  • Phone: 337-788-1071
  • Fax: 337-788-1083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number749
License Number StateLA

VIII. Authorized Official

Name: DR. BARBARA GAIL GILLESPIE
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 337-788-1081