Cipkala-Gaffin, Gerald Lee
Cipkala-Gaffin, Gerald Lee is an sole proprietor health care provider with primary practice located at 10475 Perry Hwy Suite 100, Wexford PA 15090-9274. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cipkala-Gaffin, Gerald Lee can be contacted via phone (724) 940-2363.Contact Information
Primary practice address
10475 Perry Hwy Suite 100
Wexford PA 15090-9274
Phone: (724) 940-2363
Fax: (724) 940-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PS006097L | Pennsylvania |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 4793 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS006097L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4793 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS006097L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4793 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS006097L | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4793 | Ohio |
Profile Details
| NPI number | 1689749384 |
|---|---|
| LBN Legal business name | Cipkala-Gaffin, Gerald Lee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Apr 25th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689749384 | NPPES |
| Pennsylvania | MEDICAID | 0014761210002 | |
| Pennsylvania | MEDICAID | 0160730 |
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