Doctor Name: | MR. DOUGLAS S. GILMOUR |
NPI Number: | 1871860981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 036576-1 |
Business Practice Address: | 1157 Route 55 Room 2114 Arlington H.s. Lagrangeville, NY - 12540 |
Business Phone Number: | 8454864860 |
Business Fax Number: | |
Mailing Address: | 1157 Route 55 Room 2114, Arlington H.s. LAGRANGEVILLE |
State: | NY |
Postal Code: | 12540 |
Phone Number: | 8454864860 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 036576-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |