Doctor Name: | DR. GAYLE KATHLEEN WINDMAN |
NPI Number: | 1144341546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY19944 |
Business Practice Address: | 15332 Antioch St 129 Pacific Palisades, CA - 902723603 |
Business Phone Number: | 3103010989 |
Business Fax Number: | 3103010989 |
Mailing Address: | 15332 Antioch St, 129 PACIFIC PALISADES |
State: | CA |
Postal Code: | 902723603 |
Phone Number: | 3103010989 |
Fax Number: | 3103010989 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY19944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |