| Gayle Gozdor, Ph.d. P.c. | |
|
2881 Monroe St Suite 201c Dearborn MI 48124-3475 | |
| (313) 730-2077 | |
| (248) 562-7719 |
| Full Name | Gayle Gozdor, Ph.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2881 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Gayle Ann Gozdor (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3137302077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gayle Gozdor, Ph.d. P.c. 2881 Monroe St Suite 201c Dearborn MI 48124-3475 Ph: (313) 730-2077 | Gayle Gozdor, Ph.d. P.c. 2881 Monroe St Suite 201c Dearborn MI 48124-3475 Ph: (313) 730-2077 |
| NPI Number | 1407026115 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407026115 | NPI | - | NPPES |
| 0F30675 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301007615 (Michigan) | Primary |
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