Doctor Name: | GAIL KUNDROT |
NPI Number: | 1215122130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1027232 |
Business Practice Address: | 20 Joyce Ter Whitman, MA - 023821700 |
Business Phone Number: | 7818571634 |
Business Fax Number: | |
Mailing Address: | 20 Joyce Ter, WHITMAN |
State: | MA |
Postal Code: | 023821700 |
Phone Number: | 7818571634 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1027232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |