Wendy Ellis Gaylord in Boulder - Clinical
Wendy Ellis Gaylord - NPI 1275793770
Wendy Ellis Gaylord is a Clinical in Boulder, Colorado. Wendy Ellis Gaylord practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wendy Ellis Gaylord is 1275793770. The last update date is 2012-10-03.
Wendy Ellis Gaylord's current location address is 5052 N Foothills Hwy, Boulder, Colorado. You can contact this provider via phone number 7203574448. The mailing address for Wendy Ellis Gaylord is 5052 N Foothills Hwy, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Ellis Gaylord |
|---|---|
| Address | 5052 N Foothills Hwy, Boulder, Colorado |
| Phone Number | 7203574448 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275793770 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 5052 N Foothills Hwy |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803029363 |
| Phone Number | 7203574448 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R051672-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2399273 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wendy Ellis Gaylord by the Centers for Medicare & Medicaid Services?
The Wendy Ellis Gaylord has been issued the NPI (National Provider Identifier) 1275793770 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Wendy Ellis Gaylord is physically located?
The Wendy Ellis Gaylord is situated at the following address: 5052 N Foothills Hwy, Boulder, CO 803029363.
What is Wendy Ellis Gaylord's area of expertise and its corresponding taxonomy classification?
The Wendy Ellis Gaylord's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Wendy Ellis Gaylord receive its 1275793770 assignment from the Centers for Medicare & Medicaid Services?
The Wendy Ellis Gaylord was assigned its 1275793770 by the Centers for Medicare & Medicaid Services on 2008-06-10.
When was the information pertaining to Wendy Ellis Gaylord most recently updated or revised?
The details related to Wendy Ellis Gaylord, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-03.