Individual
AUSTRA GAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
947 PENN AVE, WYOMISSING, PA 19610-3018
(610) 478-7115
(610) 478-7118
Mailing address
947 PENN AVE, WYOMISSING, PA 19610-3018
(610) 478-7115
(610) 478-7118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001413
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50050320
CAPITAL BLUE CROSS
PA
Enumeration date
09/15/2006
Last updated
07/08/2007
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