Henry Jay Gault in Deerfield - Child & Adolescent Psychiatry

Henry Jay Gault - NPI 1417130527

Henry Jay Gault is a Child & Adolescent Psychiatry in Deerfield, Illinois. Henry Jay Gault practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Henry Jay Gault is 1417130527. The last update date is 2007-12-11.

Henry Jay Gault's current location address is 770 Lake Cook Rd, Deerfield, Illinois. You can contact this provider via phone number 8472670001 and fax number 8472670002. The mailing address for Henry Jay Gault is 770 Lake Cook Rd, Deerfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Jay Gault
Address 770 Lake Cook Rd, Deerfield, Illinois
Phone Number 8472670001
Fax Number 8472670002
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1417130527
Provider Enumeration Date 2007-12-11
Last Updated Date 2007-12-11

Provider Mailing Address Detail

Address 770 Lake Cook Rd
City Deerfield
State Illinois (IL)
Post Code 600154920
Phone Number 8472670001
Fax Number 8472670002

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 3646462
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Henry Jay Gault

What is the Henry Jay Gault's 1417130527?

The Henry Jay Gault's NPI (National Provider Identifier) Number is 1417130527. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Henry Jay Gault?

The Henry Jay Gault is physically situated at 770 Lake Cook Rd, in the city of Deerfield, state of IL, with the postal code 600154920.

What is Henry Jay Gault's specialized field of practice, and what is the corresponding taxonomy classification code?

The Henry Jay Gault's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417130527 to Henry Jay Gault?

The Centers for Medicare & Medicaid Services originally issued the 1417130527 to Henry Jay Gault on 2007-12-11.

When was the information pertaining to Henry Jay Gault most recently updated or revised?

The details related to Henry Jay Gault, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-11.

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