Doctor Name: | GAYLE C KIRMA |
NPI Number: | 1306925466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW, BCD |
License Number: | LCS18802 |
Business Practice Address: | 2075 Palos Verdes Dr N Suite 218 Lomita, CA - 907173724 |
Business Phone Number: | 3107206873 |
Business Fax Number: | |
Mailing Address: | 141 Calle Mayor, REDONDO BEACH |
State: | CA |
Postal Code: | 902776509 |
Phone Number: | 3107206873 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS18802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |