Individual
DR. NINA J. GAWLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7 VINE AVE NE, FORT WALTON BEACH, FL 32548-5070
(850) 863-2873
Mailing address
7 VINE AVE NE, FORT WALTON BEACH, FL 32548-5070
(850) 863-2873
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084230
CIGNA BEHAVIORAL HEALTH
FL
01
—
21213818656
BEECH STREET CORPORTION
FL
01
—
54731
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
12/13/2006
Last updated
07/15/2007
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