Individual
GABRIELLE MONTGOMERY GAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
201 INDEPENDENCE DRIVE, COLUMBUS AFB, MS 39710
(662) 434-2273
Mailing address
201 INDEPENDENCE, COLUMBUS, MS 39710-5300
(662) 434-2273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
09/27/2023
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