Provider Demographics
NPI:1114131562
Name:PEKAR, GALE (RN,LPC)
Entity Type:Individual
Prefix:
First Name:GALE
Middle Name:
Last Name:PEKAR
Suffix:
Gender:F
Credentials:RN,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 GREENMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3521
Mailing Address - Country:US
Mailing Address - Phone:856-428-4078
Mailing Address - Fax:
Practice Address - Street 1:125 VETERANS LN
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2333
Practice Address - Country:US
Practice Address - Phone:856-428-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional