Provider Demographics
NPI:1477911949
Name:GISH, RICHARD EUGENE JR (BS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:EUGENE
Last Name:GISH
Suffix:JR
Gender:M
Credentials:BS
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Mailing Address - Street 1:UAB COMMUNITY PSYCHIATRY
Mailing Address - Street 2:908 20TH STREET SOUTH RM 487
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0001
Mailing Address - Country:US
Mailing Address - Phone:205-934-9715
Mailing Address - Fax:205-975-8950
Practice Address - Street 1:UAB COMMUNITY PSYCHIATRY
Practice Address - Street 2:908 20TH STREET SOUTH RM 487
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0001
Practice Address - Country:US
Practice Address - Phone:205-934-9715
Practice Address - Fax:205-975-8950
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical