Gaylord, Faith B
Gaylord, Faith B is an sole proprietor health care provider with primary practice located at 4147 Willowbrook Dr , Liverpool NY 13090-2348. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaylord, Faith B can be contacted via phone (315) 652-1459.Contact Information
Primary practice address
4147 Willowbrook Dr
Liverpool NY 13090-2348
Phone: (315) 652-1459
Fax: (315) 652-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 038448-R | New York |
Profile Details
| NPI number | 1437215100 |
|---|---|
| LBN Legal business name | Gaylord, Faith B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1437215100 | NPPES |
| New York | MEDICAID | 02304061 |
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