Provider Demographics
NPI:1598974727
Name:RAYANNE GILLIES PHD LLC
Entity Type:Organization
Organization Name:RAYANNE GILLIES PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYANNE
Authorized Official - Middle Name:FERENZ
Authorized Official - Last Name:GILLIES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-593-6685
Mailing Address - Street 1:5301 LIMESTONE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1250
Mailing Address - Country:US
Mailing Address - Phone:302-593-6685
Mailing Address - Fax:302-234-1017
Practice Address - Street 1:5301 LIMESTONE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1250
Practice Address - Country:US
Practice Address - Phone:302-593-6685
Practice Address - Fax:302-234-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000504103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty