Doctor Name: | GINA MICHELLE PAWLEY-WHITLEY |
NPI Number: | 1265757363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1778 |
Business Practice Address: | 289 Ireland Ave Ireland Army Community Hospital Fort Knox, KY - 401215111 |
Business Phone Number: | 5026249007 |
Business Fax Number: | 5026240252 |
Mailing Address: | 624 Windbrook Dr, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427016827 |
Phone Number: | 2707667944 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2010 |
NPI Last Update Date: | 03/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |