Doctor Name: | MRS. GALE DOLLARD |
NPI Number: | 1588085245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGPC |
License Number: | LGPC5454 |
Business Practice Address: | 1200 Brass Mill Rd Suite A Belcamp, MD - 210171217 |
Business Phone Number: | 4109351489 |
Business Fax Number: | |
Mailing Address: | 46 Bay Club Pkwy, NORTH EAST |
State: | MD |
Postal Code: | 219014711 |
Phone Number: | 8134223170 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2013 |
NPI Last Update Date: | 12/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LGPC5454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |