Provider Demographics
NPI:1275281925
Name:NEWMAN, GAIL (MHC-LP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-2008
Mailing Address - Country:US
Mailing Address - Phone:518-952-9032
Mailing Address - Fax:518-252-6445
Practice Address - Street 1:350 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1000
Practice Address - Country:US
Practice Address - Phone:518-714-1001
Practice Address - Fax:518-217-0849
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111279-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health