Individual
ALICE GAMMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
Update your record
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