Provider Demographics
NPI:1407046907
Name:BUMSTEAD, GAYE ERIN (BA SOCIAL WORK)
Entity Type:Individual
Prefix:MS
First Name:GAYE
Middle Name:ERIN
Last Name:BUMSTEAD
Suffix:
Gender:F
Credentials:BA SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GENERAL DELIVERY
Mailing Address - Street 2:
Mailing Address - City:BIG BEAR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92314-9999
Mailing Address - Country:US
Mailing Address - Phone:909-380-4504
Mailing Address - Fax:
Practice Address - Street 1:40880 PEDDER RD.
Practice Address - Street 2:
Practice Address - City:BIG BEAR LAKE
Practice Address - State:CA
Practice Address - Zip Code:92315
Practice Address - Country:US
Practice Address - Phone:909-866-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)