Doctor Name: | MRS. GAY S MCCALLUM |
NPI Number: | 1013039502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 148 S Bloomingdale Rd Suite 112 Bloomingdale, IL - 60108 |
Business Phone Number: | 6308944451 |
Business Fax Number: | 6308942876 |
Mailing Address: | 207 Cedar Crest Dr, SCHAUMBURG |
State: | IL |
Postal Code: | 60193 |
Phone Number: | 8473409297 |
Fax Number: | 8479851465 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |