Doctor Name: | MR. ADRIAN G GAYLE |
NPI Number: | 1013217173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 16309 |
Business Practice Address: | 6948 Hawthorne St Landover, MD - 207853447 |
Business Phone Number: | 2022949192 |
Business Fax Number: | |
Mailing Address: | 6948 Hawthorne St, LANDOVER |
State: | MD |
Postal Code: | 207853447 |
Phone Number: | 2022949192 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2010 |
NPI Last Update Date: | 10/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 16309 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |