Provider Demographics
NPI:1750468377
Name:GALE, DONNADEE (MSW)
Entity Type:Individual
Prefix:
First Name:DONNADEE
Middle Name:
Last Name:GALE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8480 S EASTERN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2822
Mailing Address - Country:US
Mailing Address - Phone:702-650-0590
Mailing Address - Fax:702-650-0591
Practice Address - Street 1:8480 S EASTERN AVE STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2822
Practice Address - Country:US
Practice Address - Phone:702-650-0590
Practice Address - Fax:702-650-0591
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7231041C0700X
NV4286-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000502418Medicaid