Individual
DR. GAIL LOREE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
320 CENTRAL AVE, SUITE 514, COOS BAY, OR 97420-2272
(541) 269-1749
(541) 269-1749
Mailing address
320 CENTRAL AVE, SUITE 514, COOS BAY, OR 97420-2272
(541) 269-1749
(541) 269-1749
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
256
OR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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