Provider Demographics
NPI:1710948328
Name:MURRAY, GAYLE J (LISW)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:J
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 70TH ST
Mailing Address - Street 2:WADLE AND ASSOCIATES PC
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322
Mailing Address - Country:US
Mailing Address - Phone:515-270-1344
Mailing Address - Fax:515-270-6515
Practice Address - Street 1:2327 70TH ST
Practice Address - Street 2:WADLE AND ASSOCIATES PC
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322
Practice Address - Country:US
Practice Address - Phone:515-270-1344
Practice Address - Fax:515-270-6515
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02223104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker