Provider Demographics
NPI:1508025461
Name:GAIL GILLESPIE & ASSOCIATES
Entity Type:Organization
Organization Name:GAIL GILLESPIE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:337-788-1081
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA749103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1066672Medicaid