Provider Demographics
NPI:1407109929
Name:SCHIEK GAMBLE, CAROLINE JULIA
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:JULIA
Last Name:SCHIEK GAMBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DEVONSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6211
Mailing Address - Country:US
Mailing Address - Phone:516-765-0855
Mailing Address - Fax:
Practice Address - Street 1:250 COMMERCIAL ST STE 3004
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1118
Practice Address - Country:US
Practice Address - Phone:603-668-3050
Practice Address - Fax:603-668-8666
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1539103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty