Jay Thomas Gourlie in Brainerd - Psychologist
Jay Thomas Gourlie - NPI 1407877277
Jay Thomas Gourlie is a Psychologist in Brainerd, Minnesota. Jay Thomas Gourlie practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jay Thomas Gourlie is 1407877277. The last update date is 2008-01-08.
Jay Thomas Gourlie's current location address is Po Box 1239, Brainerd, Minnesota. You can contact this provider via phone number 6516452227. The mailing address for Jay Thomas Gourlie is Po Box 1239, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Thomas Gourlie |
|---|---|
| Address | Po Box 1239, Brainerd, Minnesota |
| Phone Number | 6516452227 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407877277 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | Po Box 1239 |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564019600 |
| Phone Number | 6516452227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69260GO | MN | BCBS | |
| 6107401 | MN | UBH MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jay Thomas Gourlie by the Centers for Medicare & Medicaid Services?
The Jay Thomas Gourlie has been issued the NPI (National Provider Identifier) 1407877277, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jay Thomas Gourlie is located?
The Jay Thomas Gourlie is situated at the following address: Po Box 1239, Brainerd, MN, 564019600.
What is Jay Thomas Gourlie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jay Thomas Gourlie's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Jay Thomas Gourlie receive its 1407877277?
The Jay Thomas Gourlie was issued its 1407877277 on 2006-07-21, which is the date when the organization was assigned this unique identifier.
When was the Jay Thomas Gourlie's information last updated?
The Jay Thomas Gourlie's information was last updated on 2008-01-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH