Doctor Name: | DANIEL GASPER |
NPI Number: | 1568868586 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | CC4423 |
Business Practice Address: | 50 E Main St Harrington, ME - 046433043 |
Business Phone Number: | 2074834502 |
Business Fax Number: | 2074834778 |
Mailing Address: | 50 E Main St, HARRINGTON |
State: | ME |
Postal Code: | 046433043 |
Phone Number: | 2074834502 |
Fax Number: | 2074834778 |
NPI Enumeration Date: | 11/19/2014 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC4423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |