Gillen, Robert Willson

Gillen, Robert Willson is an sole proprietor health care provider with primary practice located at 215 Washington Avenue Ext , Albany NY 12205-5534. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gillen, Robert Willson can be contacted via phone (518) 452-0914.

Contact Information

Primary practice address
215 Washington Avenue Ext Albany NY 12205-5534
Phone: (518) 452-0914
Fax: (518) 452-5953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 007574 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7574 New York

Profile Details

NPI number 1245220227
LBN Legal business name Gillen, Robert Willson
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated May 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245220227 NPPES
New York MEDICAID 01698773

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