Doctor Name: | MRS. GAYLE D REASONER |
NPI Number: | 1346457413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPC |
License Number: | PC000076 |
Business Practice Address: | 1300 Horizon Drive Suite 116 Chalfont, PA - 18914 |
Business Phone Number: | 2158227055 |
Business Fax Number: | 2157129890 |
Mailing Address: | 1300 Horizon Drive, Suite 116 CHALFONT |
State: | PA |
Postal Code: | 18914 |
Phone Number: | 2158227055 |
Fax Number: | 2157129890 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |