Doctor Name: | MISS CAITLIN REBECCA GILMORE |
NPI Number: | 1730459108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 280 Jackson Rd Atco, NJ - 080041645 |
Business Phone Number: | 8562628920 |
Business Fax Number: | 8562620974 |
Mailing Address: | 280 Jackson Rd, ATCO |
State: | NJ |
Postal Code: | 080041645 |
Phone Number: | 8562628920 |
Fax Number: | 8562620974 |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |