Doctor Name: | GAIL P ANDERSEN |
NPI Number: | 1023143534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 004209 |
Business Practice Address: | 7 Old Sherman Tpke Suite 102 Danbury, CT - 068104174 |
Business Phone Number: | 2038269262 |
Business Fax Number: | 2032050920 |
Mailing Address: | 7 Old Sherman Tpke, Suite 102 DANBURY |
State: | CT |
Postal Code: | 068104174 |
Phone Number: | 2038269262 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 004209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |