Provider Demographics
NPI:1306190905
Name:MCCLINSEY-POWELL, GILLIAN LEE (DOULA)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:LEE
Last Name:MCCLINSEY-POWELL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 LUELLA AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1836
Mailing Address - Country:US
Mailing Address - Phone:734-626-8508
Mailing Address - Fax:
Practice Address - Street 1:74 LUELLA AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1836
Practice Address - Country:US
Practice Address - Phone:734-626-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-04
Last Update Date:2012-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula