Individual
DR. GAIL J PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
11842 W WATERWAY DR, HOMOSASSA, FL 34448-7312
(352) 628-7611
(352) 628-7644
Mailing address
11842 W WATERWAY DR, HOMOSASSA, FL 34448-7312
(352) 628-7611
(352) 628-7644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY 5901
FL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY 5901
FL
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689827196
—
FL
Enumeration date
08/03/2006
Last updated
04/29/2008
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