Gayla M. Gouge is a Clinical in Broken Arrow, Oklahoma. Gayla M. Gouge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gayla M. Gouge is 1073704961. The last update date is 2013-08-27.
Gayla M. Gouge's current location address is 1602 S Pine Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188529148. The mailing address for Gayla M. Gouge is 1602 S Pine Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayla M. Gouge |
|---|---|
| Address | 1602 S Pine Ave, Broken Arrow, Oklahoma |
| Phone Number | 9188529148 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1073704961 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | 1602 S Pine Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740125211 |
| Phone Number | 9188529148 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2915 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gayla M. Gouge by the Centers for Medicare & Medicaid Services?
The Gayla M. Gouge has been issued the NPI (National Provider Identifier) 1073704961, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gayla M. Gouge's facilities are situated?
The facilities of Gayla M. Gouge are physically located at the following address: 1602 S Pine Ave, Broken Arrow, OK, 740125211.
What is Gayla M. Gouge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gayla M. Gouge's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1073704961 assigned to Gayla M. Gouge?
The Gayla M. Gouge was issued its 1073704961 on 2007-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gayla M. Gouge most recently updated or revised?
The details related to Gayla M. Gouge, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-27.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO