| Doctor Name: | MR. GERALD LOU MAYO |
| NPI Number: | 1124375563 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, PLMHP |
| License Number: | 6822 |
| Business Practice Address: | 917 W 21st St South Sioux City, NE - 687762652 |
| Business Phone Number: | 4024943337 |
| Business Fax Number: | 4024943356 |
| Mailing Address: | 917 W 21st St, P.o. Box 355 SOUTH SIOUX CITY |
| State: | NE |
| Postal Code: | 687762652 |
| Phone Number: | 4024943337 |
| Fax Number: | 4024943356 |
| NPI Enumeration Date: | 08/03/2012 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6822 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |