Organization
DR GAIL GREENSPOON CONSULTING SERVICES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL LESLIE GREENSPOON ED. D. (LICENSED PSYCHOLOGIST)
(561) 392-7779
Entity
Organization
Contact information
Practice address
2499 GLADES RD, SUITE 203, BOCA RATON, FL 33431-7209
(561) 392-7779
(561) 447-9234
Mailing address
2499 GLADES RD, SUITE 203, BOCA RATON, FL 33431-7209
(561) 392-7779
(561) 447-9234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59467
MEDICARE PROVIDER
FL
Enumeration date
01/15/2014
Last updated
01/15/2014
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