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NPI Code Detail

MEDICARE: MS. CLAUDETTE A. GAYNOR LMHC

MEDICARE:  MS. CLAUDETTE A. GAYNOR  LMHC
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
1101YM0800XMental Health CounselorMH10194FL

General Provider Information

NPI Number : 1861711566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDETTE A. GAYNOR LMHC
Provider Business Mailing Address
First Line : 4439 REGAL CT
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3829
Country : US
Telephone Number : 561-542-6305
Fax Number :
Provider Business Practice Location Address
First Line : 4439 REGAL CT
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3829
Country : US
Telephone Number : 561-880-6220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 08/06/2017

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Directions to “ MS. CLAUDETTE A. GAYNOR LMHC” Practice Location

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