Provider Demographics
NPI:1124189477
Name:FIORE, GAIL R (MA, LCSW, BCD, CEAP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:R
Last Name:FIORE
Suffix:
Gender:F
Credentials:MA, LCSW, BCD, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4559 OLD WILLIAM PENN HWY
Mailing Address - Street 2:SUITE100
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1950
Mailing Address - Country:US
Mailing Address - Phone:724-733-7344
Mailing Address - Fax:724-327-3188
Practice Address - Street 1:4559 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE100
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1950
Practice Address - Country:US
Practice Address - Phone:724-733-7344
Practice Address - Fax:724-327-3188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012466101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health