Doctor Name: | MR. GARRY L. EARLES |
NPI Number: | 1730522681 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W., L.I.C.S.W. |
License Number: | 113224 |
Business Practice Address: | 28 Park St Turners Falls, MA - 013761404 |
Business Phone Number: | 4138634128 |
Business Fax Number: | |
Mailing Address: | 28 Park St, TURNERS FALLS |
State: | MA |
Postal Code: | 013761404 |
Phone Number: | 4138634128 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 113224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |