Individual
ANDREW DOUGLAS GILL
Active
Individual
ANDREW DOUGLAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
026424
MD
103TB0200X
Cognitive & Behavioral Psychologist
026424
MD
103TC0700X
Clinical Psychologist
Primary
026424
MD
103TC2200X
Clinical Child & Adolescent Psychologist
026424
MD
Other
Enumeration date
07/27/2020
Last updated
12/09/2024
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