Individual
DR. JAMIE BRYNN GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NCSP
Contact information
Practice address
315 E NORTH DR, BLOOMINGTON, IN 47401-6595
(812) 330-7745
Mailing address
315 E NORTH DR, BLOOMINGTON, IN 47401-6595
(812) 330-7745
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10316408
IN
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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