Provider Demographics
NPI:1346373511
Name:GILLESPIE, BARBARA GAIL (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GAIL
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:GILLESPIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:703 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-3815
Mailing Address - Country:US
Mailing Address - Phone:337-788-1071
Mailing Address - Fax:337-788-1083
Practice Address - Street 1:703 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-3815
Practice Address - Country:US
Practice Address - Phone:337-788-1071
Practice Address - Fax:337-788-1083
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA749103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool