Gillock, Karen Lee
Gillock, Karen Lee is an sole proprietor health care provider with primary practice located at 115 Etna Rd Building 1, Suite 2, Lebanon NH 03766-1429. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gillock, Karen Lee can be contacted via phone (603) 448-3588.Contact Information
Primary practice address
115 Etna Rd Building 1, Suite 2
Lebanon NH 03766-1429
Phone: (603) 448-3588
Fax: (603) 448-3583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 943 | New Hampshire |
Profile Details
| NPI number | 1518035005 |
|---|---|
| LBN Legal business name | Gillock, Karen Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Mar 31st, 2009 - about 17 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 | 1518035005 | NPPES |
| Vermont | Other | 1008149 | MEDICAID |
| Vermont | MEDICAID | 30421560 | MEDICAID |
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