| Doctor Name: | MS. GLADYS A GAINES |
| NPI Number: | 1013214691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5109 Sturgeon Dr Sebring, FL - 338701173 |
| Business Phone Number: | 8632537510 |
| Business Fax Number: | 8633869117 |
| Mailing Address: | Po Box 1162, BOWLING GREEN |
| State: | FL |
| Postal Code: | 338341162 |
| Phone Number: | 8632537510 |
| Fax Number: | 8633869117 |
| NPI Enumeration Date: | 02/17/2011 |
| NPI Last Update Date: | 03/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |