Doctor Name: | STEPHANIE M. GALE |
NPI Number: | 1154585206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 1062 State Route 38 Owego, NY - 138273209 |
Business Phone Number: | 6076874000 |
Business Fax Number: | 6076876396 |
Mailing Address: | 1062 State Route 38, Po Box 177 OWEGO |
State: | NY |
Postal Code: | 138273209 |
Phone Number: | 6076874000 |
Fax Number: | 6076876396 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |