Provider Demographics
NPI:1851628937
Name:GUTTMAN, GAIL (MSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:GUTTMAN
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 1:6000 EXECUTIVE BLVD.
Mailing Address - Street 2:SUITE 530
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:UM
Mailing Address - Phone:301-984-0322
Mailing Address - Fax:301-984-0528
Practice Address - Street 1:6000 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 530
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3803
Practice Address - Country:US
Practice Address - Phone:301-984-0322
Practice Address - Fax:301-984-0528
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical