| Doctor Name: | MS. GAIL A WATERMAN |
| NPI Number: | 1053777524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 778 W Columbia Ave Battle Creek, MI - 49015 |
| Business Phone Number: | 2692680591 |
| Business Fax Number: | 2699664135 |
| Mailing Address: | 778 W. Columbia Ave., BATTLE CREEK |
| State: | MI |
| Postal Code: | 49015 |
| Phone Number: | 2692680591 |
| Fax Number: | 2699664135 |
| NPI Enumeration Date: | 01/13/2016 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |