Provider Demographics
NPI:1063480887
Name:CARTWRIGHT, GLADYS S (LPC)
Entity Type:Individual
Prefix:MS
First Name:GLADYS
Middle Name:S
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6952 BONE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5275
Mailing Address - Country:US
Mailing Address - Phone:910-860-9455
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF THE ARMY
Practice Address - Street 2:2817 REILLY RD WAMC STOP A MCXC-DSW
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-7335
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional