Provider Demographics
NPI:1457462681
Name:ALBERT, GAIL MESSINGER (PHD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MESSINGER
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 WITCHTREE RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:NY
Mailing Address - Zip Code:12498-1940
Mailing Address - Country:US
Mailing Address - Phone:845-679-6971
Mailing Address - Fax:
Practice Address - Street 1:84 WITCHTREE RD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-1940
Practice Address - Country:US
Practice Address - Phone:845-679-6971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012674103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist