Provider Demographics
NPI:1558771246
Name:WILLIAM GILLESPIE AND ASSOCIATES INC.
Entity Type:Organization
Organization Name:WILLIAM GILLESPIE AND ASSOCIATES INC.
Other - Org Name:GILLESPIE AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-922-3096
Mailing Address - Street 1:510 S GRAND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4207
Mailing Address - Country:US
Mailing Address - Phone:626-914-1980
Mailing Address - Fax:626-914-1984
Practice Address - Street 1:510 S GRAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4207
Practice Address - Country:US
Practice Address - Phone:626-914-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty