Provider Demographics
NPI:1518140912
Name:LOUIS C. GADOL, PH.D.
Entity Type:Organization
Organization Name:LOUIS C. GADOL, PH.D.
Other - Org Name:ACCORDANCE PSYCHOLOIGCAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:GADOL, LPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-287-8890
Mailing Address - Street 1:270 N TOMS ST
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2500
Mailing Address - Country:US
Mailing Address - Phone:828-287-8890
Mailing Address - Fax:828-287-3102
Practice Address - Street 1:270 N TOMS ST
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2500
Practice Address - Country:US
Practice Address - Phone:828-287-8890
Practice Address - Fax:828-287-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1176103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005061Medicaid
NC0335AOtherBCBSNC
NC2814890CMedicare PIN